Provider Demographics
NPI:1790571909
Name:XIONG, LORALAI
Entity type:Individual
Prefix:MS
First Name:LORALAI
Middle Name:
Last Name:XIONG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 N STATE HIGHWAY 59
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-9208
Mailing Address - Country:US
Mailing Address - Phone:209-635-9427
Mailing Address - Fax:
Practice Address - Street 1:4209 N STATE HIGHWAY 59
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-9208
Practice Address - Country:US
Practice Address - Phone:209-635-9427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator