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1154923704
LORRIAN K PORTER
BRONX, NY
NPI
1154923704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 025430-01)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
LORRIAN K PORTER PA
4422 3RD AVE
BRONX, NY 10457-2594
Phone number: 718-960-9000
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Mailing Address
LORRIAN K PORTER PA
105 SHEPARD AVE
TEANECK, NJ 07666-6157
Phone number: 201-647-5943
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