Individual
PENG LOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8150 W ACACIA ST, MILWAUKEE, WI 53223-5524
(414) 422-3006
Mailing address
8150 W ACACIA ST, MILWAUKEE, WI 53223-5524
(414) 422-3006
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
AKW8480
WI
Other
Enumeration date
04/14/2025
Last updated
04/21/2025
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