Healthcare Provider Details

I. General information

NPI: 1629074026
Provider Name (Legal Business Name): FRANK LAURENZANO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 12/11/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7780 OKEECHOBEE BLVD
WEST PALM BEACH FL
33411-2104
US

IV. Provider business mailing address

6707 BLUE BAY CIRCLE
LAKE WORTH FL
33467
US

V. Phone/Fax

Practice location:
  • Phone: 561-687-2244
  • Fax: 561-687-2277
Mailing address:
  • Phone: 516-687-2244
  • Fax: 561-687-2277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH7196
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: