| Organization Name: | LORANE M. DICK, D.O. |
| NPI Number: | 1235280066 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORANE MITTIE DICK (OWNER) |
| Mailing Address: | 554 E Foothill Blvd Suite 120 San Dimas |
| State: | CA US |
| Postal Code: | 917731222 |
| Phone Number: | 9095928399 |
| Fax Number: | 9095928399 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 20A4508 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |