Individual
LORNA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
375 HUNTINGTON DR, SUITE G, SAN MARINO, CA 91108-2357
(626) 441-4231
(626) 441-0282
Mailing address
133 N ALTADENA DR, 2ND FLOOR, PASADENA, CA 91107-7325
(626) 397-8335
(626) 397-8337
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A063801
CA
Other
Enumeration date
02/03/2006
Last updated
01/26/2012
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