Individual
LORI LEE VANYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1910 ROYALTY DR, POMONA, CA 91767-3021
(909) 766-1600
(909) 766-1601
Mailing address
1910 ROYALTY DR, POMONA, CA 91767-3021
(909) 766-1600
(909) 766-1601
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A55042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A550420
—
CA
Enumeration date
03/10/2006
Last updated
08/09/2024
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