LORI MICHELLE PETROFF

EMERYVILLE, CA
NPI1588839518
Former NameLORI MICHELLE FAGERLIE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  3795)
Enumeration Date2008-04-30
Last Update Date2013-09-23
Business Address
-- LORI MICHELLE PETROFF PA-C
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1844
Phone number: 510-350-2657
Mailing Address
-- LORI MICHELLE PETROFF PA-C
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1844
Phone number: 510-350-2657
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