Provider Demographics
NPI:1386712594
Name:LORRAINE THORPE, D.C.,PA
Entity type:Organization
Organization Name:LORRAINE THORPE, D.C.,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:THORPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-328-8442
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7749111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE3162Medicare ID - Type Unspecified
FLU77209Medicare UPIN