Individual
LORI ANN DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
401 PARADISE RD, MODESTO, CA 95351-3163
(209) 558-4000
Mailing address
401 PARADISE RD, MODESTO, CA 95351-3163
(209) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13554
STATE LIC.
CA
Enumeration date
01/15/2007
Last updated
03/07/2023
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