MEDICARE: LORI ANN DUCHENE 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	781 CHI	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	41011	OTHER	MT	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1265421952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI ANN DUCHENE DC

Provider Business Mailing Address
First Line	:	1001 E PARK AVE
Second Line	:
City	:	ANACONDA
State	:	MT
Zip	:	59711-2639
Country	:	US
Telephone Number	:	406-563-6721
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 E PARK AVE
Second Line	:
City	:	ANACONDA
State	:	MT
Zip	:	59711-2639
Country	:	US
Telephone Number	:	406-563-6721
Fax Number	:

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

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	07/08/2007

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Directions to “ LORI ANN DUCHENE DC” Practice Location

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