Provider Demographics
NPI:1831265230
Name:FRANKA, LONNIE RAY JR (CHIROPRACTOR)
Entity type:Individual
Prefix:DR
First Name:LONNIE
Middle Name:RAY
Last Name:FRANKA
Suffix:JR
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 PATTERSON DR
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5645
Mailing Address - Country:US
Mailing Address - Phone:361-578-9966
Mailing Address - Fax:361-578-9997
Practice Address - Street 1:2004 PATTERSON DR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5645
Practice Address - Country:US
Practice Address - Phone:361-578-9966
Practice Address - Fax:361-578-9997
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9159DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
8U7490OtherBCBS
U92760Medicare UPIN
8F2466Medicare ID - Type Unspecified