Organization
JANET LORD MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET PHYLLIS LORD M.D. (PRACTICE OWNER)
(510) 549-2038
Entity
Organization
Contact information
Practice address
3031 TELEGRAPH AVE, SUITE 241, BERKELEY, CA 94705
(510) 549-2038
(510) 549-2690
Mailing address
3031 TELEGRAPH AVENUE, SUITE 241, BERKELEY, CA 94705-2052
(510) 549-2038
(510) 549-2690
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
G40776
CA
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
09/06/2023
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