Individual
LORI BOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
355 LAS VEGAS ST, MORRO BAY, CA 93442-1548
(805) 772-7100
(805) 772-7776
Mailing address
355 LAS VEGAS ST, MORRO BAY, CA 93442-1548
(805) 772-7100
(805) 772-7776
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13478
CA
Other
Enumeration date
11/16/2013
Last updated
11/16/2013
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