Provider Demographics
NPI:1255530879
Name:DIBACCO, LORI J (ND)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:J
Last Name:DIBACCO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:60 MAIN ST
Mailing Address - Street 2:STE 320
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060
Mailing Address - Country:US
Mailing Address - Phone:603-685-4163
Mailing Address - Fax:603-483-3849
Practice Address - Street 1:60 MAIN ST
Practice Address - Street 2:STE 320
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-685-4163
Practice Address - Fax:603-483-3849
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH60175F00000X
NHNH60175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath