Provider Demographics
NPI:1952424996
Name:TOROK, LAURAL R (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURAL
Middle Name:R
Last Name:TOROK
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:PO BOX 2829
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-0054
Mailing Address - Country:US
Mailing Address - Phone:760-240-6519
Mailing Address - Fax:775-320-9139
Practice Address - Street 1:21215 DEL ORO RD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-7772
Practice Address - Country:US
Practice Address - Phone:760-240-6519
Practice Address - Fax:775-320-9139
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA192090111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor