Provider Demographics
NPI:1154434652
Name:THORPE, LORRAINE B (DC)
Entity type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:B
Last Name:THORPE
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 1:5144 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-1833
Mailing Address - Country:US
Mailing Address - Phone:727-328-8442
Mailing Address - Fax:727-328-1042
Practice Address - Street 1:5144 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1833
Practice Address - Country:US
Practice Address - Phone:727-328-8442
Practice Address - Fax:727-328-1042
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7749111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU77209Medicare UPIN
FLE3162Medicare ID - Type Unspecified