| Shoua Lor, | |
|
1280 E Gibson Rd, Woodland, CA 95776-6315 | |
| (530) 650-4500 | |
| Not Available |
| Full Name | Shoua Lor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1280 E Gibson Rd, Woodland, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447864756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95015272 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Woodland Memorial Hospital | Woodland, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Open Door Community Health Centers | 9436067485 | 113 |
| Entity Name | Northern Valley Indian Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295752384 PECOS PAC ID: 1557493723 Enrollment ID: O20140429000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Shoua Lor, 1280 E Gibson Rd, Woodland, CA 95776-6315 Ph: Not Available | Shoua Lor, 1280 E Gibson Rd, Woodland, CA 95776-6315 Ph: (530) 650-4500 |
Gordon Worley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1325 Cottonwood St, Woodland, CA 95695 Phone: 530-662-3961 |
Man Lung Wu, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2652 |
Thomas Ambrosini, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 Cottonwood St, Woodland, CA 95695 Phone: 530-662-3961 |
Richard Jun Meza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1325 Cottonwood St, Woodland, CA 95695 Phone: 530-662-3961 Fax: 530-668-9429 |
Laura Mazza, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-419-1219 |
Mrs. Britta Anne Van Andel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1321 Cottonwood St Ste 203, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-662-7330 |
Clariza L Aguillon-doms, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-669-3261 |