Provider Demographics
NPI:1124283593
Name:LAWLESS, LOREN PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:LOREN
Middle Name:PAUL
Last Name:LAWLESS
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 1:858 W HAPPY CANYON RD
Mailing Address - Street 2:SUITE 235
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3912
Mailing Address - Country:US
Mailing Address - Phone:303-663-3435
Mailing Address - Fax:303-663-3510
Practice Address - Street 1:858 W HAPPY CANYON RD
Practice Address - Street 2:SUITE 235
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-3912
Practice Address - Country:US
Practice Address - Phone:303-663-3435
Practice Address - Fax:303-663-3510
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6257111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor