Lora Mina Rancourt, PA-C

NPI #1023388519 in Walnut Creek, California

Provider Information

NPI Number: 1023388519
Entity Type: Individual
Name: Lora Mina Rancourt, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 30, 2011
Last Updated: Oct 19, 2018

Practice Location

Address: 2625 SHADELANDS DR
City: Walnut Creek
State: California
ZIP Code: 94598-2512
Phone: (925) 939-8585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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