Provider Demographics
NPI:1003403007
Name:RAJORA, LALITKUMAR SUKHRAM SINGH (PHARMD, MS)
Entity Type:Individual
Prefix:
First Name:LALITKUMAR
Middle Name:SUKHRAM SINGH
Last Name:RAJORA
Suffix:
Gender:M
Credentials:PHARMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8203 N GARDEN AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-4952
Mailing Address - Country:US
Mailing Address - Phone:650-935-1275
Mailing Address - Fax:
Practice Address - Street 1:1801 E MARCH LN STE B270
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-6629
Practice Address - Country:US
Practice Address - Phone:650-935-1275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82379183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist