Individual
CHRISTOPHER LOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 2ND ST, GILROY, CA 95020-5102
(408) 847-7900
(408) 847-3757
Mailing address
260 BERRY CT APT 18, MORGAN HILL, CA 95037-4226
(650) 438-1985
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21401
CA
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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