MEDICARE: YARON LOHR D.C.

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	DC9927	TX

General Provider Information

NPI Number	:	1760556492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YARON LOHR D.C.

Provider Business Mailing Address
First Line	:	15110 DALLAS PKWY
Second Line	:	STE 102
City	:	DALLAS
State	:	TX
Zip	:	75248-4601
Country	:	US
Telephone Number	:	972-792-0204
Fax Number	:	972-792-0290

Provider Business Practice Location Address
First Line	:	5550 LBJ FWY
Second Line	:	SUITE 150
City	:	DALLAS
State	:	TX
Zip	:	75240-6217
Country	:	US
Telephone Number	:	972-792-0204
Fax Number	:

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	10/01/2018

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