Provider Demographics
NPI:1609567007
Name:LOR, TOU (TECH)
Entity Type:Individual
Prefix:
First Name:TOU
Middle Name:
Last Name:LOR
Suffix:
Gender:M
Credentials:TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 N LEMOORE AVE
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-2333
Mailing Address - Country:US
Mailing Address - Phone:559-925-6027
Mailing Address - Fax:
Practice Address - Street 1:820 N LEMOORE AVE
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-2333
Practice Address - Country:US
Practice Address - Phone:559-925-6027
Practice Address - Fax:559-925-6032
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA146697183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician