Individual
JANET PHYLLIS LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3031 TELEGRAPH AVE, STE 241, BERKELEY, CA 94705-2051
(510) 549-2037
(510) 549-2690
Mailing address
3031 TELEGRAPH AVE, STE 241, BERKELEY, CA 94705-2051
(510) 549-2037
(510) 549-2690
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G40776
CA
225400000X
Rehabilitation Practitioner
G40776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006407760
—
CA
Enumeration date
11/25/2005
Last updated
11/15/2018
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