Provider Demographics
NPI:1194888487
Name:LORTS, DEANNA I (DC)
Entity type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:I
Last Name:LORTS
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 1:6089 SALEM RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-2770
Mailing Address - Country:US
Mailing Address - Phone:513-474-5044
Mailing Address - Fax:513-474-5054
Practice Address - Street 1:6089 SALEM RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-2770
Practice Address - Country:US
Practice Address - Phone:513-474-5044
Practice Address - Fax:513-474-5054
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0676721Medicare PIN