Healthcare Provider Details

I. General information

NPI: 1760595920
Provider Name (Legal Business Name): LORI ANNE DUNN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 BEDFORD ST
STAMFORD CT
06905-5202
US

IV. Provider business mailing address

1360 BEDFORD ST
STAMFORD CT
06905-5202
US

V. Phone/Fax

Practice location:
  • Phone: 203-348-8383
  • Fax: 203-961-1567
Mailing address:
  • Phone: 203-348-8383
  • Fax: 203-961-1567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: