Individual
BOON LOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 652-3000
Mailing address
5051 HAVERFORD RD APT C, HARRISBURG, PA 17109-5442
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS018062
PA
Other
Enumeration date
07/07/2014
Last updated
03/27/2020
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