MEDICARE: ANTHONY LORA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1689446593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY LORA

Provider Business Mailing Address
First Line	:	140 E SPRING ST APT 17
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1529
Country	:	US
Telephone Number	:	562-349-2927
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 E SPRING ST APT 17
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1529
Country	:	US
Telephone Number	:	562-349-2927
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2023
Last Update Date	:	10/24/2023

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Directions to “ ANTHONY LORA ” Practice Location

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