Individual
YEJAY LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8600 114TH AVE N STE 1, CHAMPLIN, MN 55316-4514
(763) 422-8700
Mailing address
1135 W RIVER RD, CHAMPLIN, MN 55316-2028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126804
MN
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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