Provider Demographics
NPI:1841150497
Name:DOLCINI, REILLY LANE (DC)
Entity type:Individual
Prefix:DR
First Name:REILLY
Middle Name:LANE
Last Name:DOLCINI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 MARSHALL PETALUMA RD
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-9458
Mailing Address - Country:US
Mailing Address - Phone:707-775-8167
Mailing Address - Fax:
Practice Address - Street 1:1476 PROFESSIONAL DR STE 505
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-1500
Practice Address - Country:US
Practice Address - Phone:707-242-6624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC37478111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor