Individual
VICTORIA LORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
673 MORRIS AVE STE 201, SPRINGFIELD, NJ 07081-1512
(917) 623-4774
Mailing address
673 MORRIS AVE, SPRINGFIELD, NJ 07081-1512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00923200
NJ
363A00000X
Physician Assistant
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00923200
PHYSICIAN ASSISTANT LICENSE
NJ
Enumeration date
12/20/2023
Last updated
08/22/2025
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