MEDICARE: LORELI ESCOLERO DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIR066555	GA

General Provider Information

NPI Number	:	1881308419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORELI ESCOLERO DC

Provider Business Mailing Address
First Line	:	606 PARK AVE N
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-4322
Country	:	US
Telephone Number	:	229-278-2296
Fax Number	:	229-239-9909

Provider Business Practice Location Address
First Line	:	606 PARK AVE N
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-4322
Country	:	US
Telephone Number	:	229-278-2296
Fax Number	:	229-239-9909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2023
Last Update Date	:	04/16/2026

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Directions to “ LORELI ESCOLERO DC” Practice Location

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