| Dr Tria Lor, MD | |
|
5415 Brooklyn Blvd, Brooklyn Center, MN 55429-3359 | |
| (763) 581-5630 | |
| Not Available |
| Full Name | Dr Tria Lor |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 5415 Brooklyn Blvd, Brooklyn Center, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215255955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 54834 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ridgeview Hospice | Waconia, MN | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healtheast Medical Research Institute | 3971407636 | 599 |
| Lifespark Medical Group Pa | 4385908201 | 20 |
| Fairview Clinics | 7113830142 | 736 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Lifespark Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427551746 PECOS PAC ID: 4385908201 Enrollment ID: O20180501001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tria Lor, MD 5320 W 23rd St, Ste 130, St Louis Park, MN 55416-1670 Ph: (952) 345-3213 | Dr Tria Lor, MD 5415 Brooklyn Blvd, Brooklyn Center, MN 55429-3359 Ph: (763) 581-5630 |
Mark Depaolis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 | |
Susan Swedenburg, Family Medicine Medicare: Medicare Enrolled Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 | |
Dr. Saima Mahmood Ahmer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6845 Lee Ave N - Ms 31400a, Healthpartners Brooklyn Center Clinic, Brooklyn Center, MN 55429 Phone: 763-569-0300 Fax: 763-569-0311 | |
Verna Hillstrom, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6601 Shingle Creek Pkwy, Ste 400, Brooklyn Center, MN 55430 Phone: 612-873-8800 | |
Dr. Anne Louise Gair, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6845 Lee Ave N, Brooklyn Center, MN 55429 Phone: 763-503-4400 Fax: 763-503-4395 | |
Brooke Van Dyke, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 |