Provider Demographics
NPI:1881308419
Name:ESCOLERO, LORELI (DC)
Entity type:Individual
Prefix:
First Name:LORELI
Middle Name:
Last Name:ESCOLERO
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 1:11023 GATEWOOD DR STE 101
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-4945
Mailing Address - Country:US
Mailing Address - Phone:941-744-1585
Mailing Address - Fax:941-744-1572
Practice Address - Street 1:11023 GATEWOOD DR STE 101
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-4945
Practice Address - Country:US
Practice Address - Phone:941-744-1585
Practice Address - Fax:941-744-1572
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14348111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor