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Individual

KEOLA LORENZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2221 PALO VERDE AVE STE 1J, LONG BEACH, CA 90815-2360
(562) 795-7007
Mailing address
13507 MAR VISTA ST APT 114, WHITTIER, CA 90602-2341

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
34469
CA

Other

Enumeration date
03/04/2019
Last updated
06/14/2019
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