Healthcare Provider Details

I. General information

NPI: 1174334692
Provider Name (Legal Business Name): STEPHANIE LOURO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32672 US 19 N
PALM HARBOR FL
34684-3113
US

IV. Provider business mailing address

3609 SPRINGFIELD DR
HOLIDAY FL
34691-1236
US

V. Phone/Fax

Practice location:
  • Phone: 404-940-1820
  • Fax:
Mailing address:
  • Phone: 404-940-1820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15717
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR011055
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: