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Individual

DR. TRIA LOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5415 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-3359
(763) 581-5630
Mailing address
5320 W 23RD ST, STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-3213

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54834
MN

Other

Enumeration date
05/05/2010
Last updated
04/23/2019
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