LORENA BISCHOFF RUSSO

CAPITOLA, CA
NPI1306959390
Former NameLORENA DOUD BISCHOFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  G81050)
Enumeration Date2006-08-16
Last Update Date2018-09-25
Business Address
Dr. LORENA BISCHOFF RUSSO M.D.
1820 41ST AVE STE C
CAPITOLA, CA 95010-2516
Phone number: 831-686-7611
Mailing Address
Dr. LORENA BISCHOFF RUSSO M.D.
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number: