Campbell, Lorraine Dome

Campbell, Lorraine Dome is an individual health care provider with primary practice located at 3838 San Dimas St Suite A200, Bakersfield CA 93301-2284. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Campbell, Lorraine Dome can be contacted via phone (661) 654-0200.

Contact Information

Primary practice address
3838 San Dimas St Suite A200 Bakersfield CA 93301-2284
Phone: (661) 654-0200
Fax: (661) 664-2855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA14728 California

Profile Details

NPI number 1194747808
LBN Legal business name Campbell, Lorraine Dome
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194747808 NPPES
California Other G476810 MEDICAL/BKFD INT MED/DOUG

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