Provider Demographics
NPI:1417109828
Name:PERRY, LORI NAGISA SUNAMOTO (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:NAGISA SUNAMOTO
Last Name:PERRY
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:H100 SANTA MARGARITA ROAD
Mailing Address - Street 2:NAVAL HOSPITAL, CAMP PENDLETON, ATTN: CODE 094
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055-5191
Mailing Address - Country:US
Mailing Address - Phone:760-725-7137
Mailing Address - Fax:760-725-6934
Practice Address - Street 1:H100 SANTA MARGARITA ROAD
Practice Address - Street 2:NAVAL HOSPITAL, CAMP PENDLETON, ATTN: CODE 094
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055-5191
Practice Address - Country:US
Practice Address - Phone:760-725-7137
Practice Address - Fax:760-725-6934
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAFE969612083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine