Provider Demographics
NPI:1881098465
Name:LAUTFY, CHRISTINE MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MICHAEL
Last Name:LAUTFY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S MAIN ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3401
Mailing Address - Country:US
Mailing Address - Phone:951-372-9441
Mailing Address - Fax:951-372-9448
Practice Address - Street 1:900 S MAIN ST
Practice Address - Street 2:SUITE 110
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3401
Practice Address - Country:US
Practice Address - Phone:951-372-9441
Practice Address - Fax:951-372-9448
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32931111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor