Individual
DANIEL JOSEPH LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
875 JOHNSON FY RD NE STE 300, ATLANTA, GA 30342-1418
(404) 257-9933
Mailing address
875 JOHNSON FY RD NE STE 300, ATLANTA, GA 30342-1418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11602
GA
Other
Enumeration date
09/20/2021
Last updated
06/23/2023
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