Individual
LORI MICHELLE PETROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2657
(510) 879-9096
Mailing address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2657
(510) 879-9096
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3795
AZ
Other
Enumeration date
04/30/2008
Last updated
09/23/2013
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