Fredrikson, Lorna J

Fredrikson, Lorna J is an individual health care provider with primary practice located at 10565 N Tatum Blvd Suite # B-116, Paradise Valley AZ 85253-1095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Fredrikson, Lorna J can be contacted via phone (480) 991-3203.

Contact Information

Primary practice address
10565 N Tatum Blvd Suite # B-116 Paradise Valley AZ 85253-1095
Phone: (480) 991-3203
Fax: (480) 991-3997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 24587 Arizona

Profile Details

NPI number 1417992033
LBN Legal business name Fredrikson, Lorna J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Dec 5th, 2007 - about 19 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 1417992033 NPPES
Arizona MEDICAID 364597

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