Individual
LORI RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
2800 SHASTA RD, BERKELEY, CA 94708-2012
(510) 499-7821
Mailing address
2800 SHASTA RD, BERKELEY, CA 94708-2012
(510) 499-7821
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM331
CA
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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