Provider Demographics
NPI:1871524801
Name:URBINA, LORRAINE JOY (DC)
Entity type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:JOY
Last Name:URBINA
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 1:5309 VISTA HERMOSA
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3014
Mailing Address - Country:US
Mailing Address - Phone:714-952-1618
Mailing Address - Fax:562-430-5403
Practice Address - Street 1:4152 KATELLA AVE.
Practice Address - Street 2:SUITE 102
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720
Practice Address - Country:US
Practice Address - Phone:562-596-1019
Practice Address - Fax:562-430-5403
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 15667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor