# VICKY LOLO A PROFESSIONAL NURSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144094582
- **Authorized official:** VICTORIA OMERI APRN (PRESIDENT)
- **Authorized official phone:** (415) 449-5097

## Contact information

- **Practice address:** 2323 BROADWAY, OAKLAND, CA 94612-2414
- **Practice address phone:** (415) 449-5097
- **Mailing address:** 2323 BROADWAY, OAKLAND, CA 94612-2414
- **Mailing address phone:** (415) 449-5097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2023
- **Last updated:** 01/10/2024