person
Lori Roth Poceta, NP
Specialist in San Diego, California
NPI 1780742387

Lori Roth Poceta is a Specialist based in Los Angeles, CA. Lori Roth Poceta practices in San Diego, CA and has the professional credentials of NP. The NPI Number for Lori Roth Poceta is 1780742387 and holds a License No. 16520 (California).

The current practice location address for Lori Roth Poceta is 12395 El Camino Real, San Diego, CA and can be reached out via phone at 858-794-1250.

Location: 12395 El Camino Real, San Diego, CA, 90074-0001
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Provider Profile Details
NPI Number
1780742387
Provider Name
Lori Roth Poceta
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
12395 El Camino Real, San Diego, CA, 90074-0001
Phone Number
858-794-1250
Fax Number
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16520 01 CA MEDICAL LICENSE
330654354 01 CA TAX ID
institution
Provider Business Practice Location Address Details
Address
12395 El Camino Real
City
State
Zip
92130-3082
Phone Number
858-794-1250
Fax Number
person
Provider Business Mailing Address Details
Address
12395 El Camino Real
City
State
Zip
92130-3082
Phone Number
858-794-1250
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
16520 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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