Doctor Name: | MR. CHRISTOPHER SCOTT LORANCE |
NPI Number: | 1114354024 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PLP |
License Number: | 2013035390 |
Business Practice Address: | 704 E Missouri 28 Owensville, MO - 650662619 |
Business Phone Number: | 5734372959 |
Business Fax Number: | |
Mailing Address: | 17238 Hilltop Ridge Dr, EUREKA |
State: | MO |
Postal Code: | 630251039 |
Phone Number: | 3144960171 |
Fax Number: | |
NPI Enumeration Date: | 10/09/2013 |
NPI Last Update Date: | 08/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2013035390 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |