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Individual

LILIA LOREDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-8311
Mailing address
PO BOX 30969, LOS ANGELES, CA 90030-0969
(909) 558-3014

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G55787
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G557870
CA
Enumeration date
07/10/2006
Last updated
07/08/2007
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