Individual
LUZ ELENA CASTILLO LORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4395 BROADWAY, APT 2B, NEW YORK, NY 10040-4024
(347) 707-9668
Mailing address
4395 BROADWAY, APT 2B, NEW YORK, NY 10040-4024
(347) 707-9668
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-615
CO
Other
Enumeration date
12/03/2014
Last updated
09/12/2016
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