Individual
JENNY LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 JULIESSE AVE, SACRAMENTO, CA 95815-1803
(916) 737-5555
Mailing address
776 WARNER ST APT F, SACRAMENTO, CA 95818-2085
(916) 529-3813
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
12/11/2024
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