Doctor Name: | PAO GE LOR |
NPI Number: | 1689857609 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 004274 |
Business Practice Address: | 4552 Meadow Way Olivehurst, CA - 959614527 |
Business Phone Number: | 5307427769 |
Business Fax Number: | |
Mailing Address: | 4552 Meadow Way, OLIVEHURST |
State: | CA |
Postal Code: | 959614527 |
Phone Number: | 5307427769 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2007 |
NPI Last Update Date: | 12/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | 004274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Private Vehicle |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |