Individual
PAZAO LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 S 6TH ST, FOWLER, CA 93625-2438
(559) 834-3973
(559) 632-1390
Mailing address
1717 S CHESTNUT AVE, FRESNO, CA 93702-4709
(559) 453-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95201399
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95035443
CA
Other
Enumeration date
06/23/2025
Last updated
09/23/2025
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