Lord, Janet Phyllis

Lord, Janet Phyllis is an individual health care provider with primary practice located at 3031 Telegraph Ave Ste 241, Berkeley CA 94705-2051. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Lord, Janet Phyllis can be contacted via phone (510) 549-2037.

Contact Information

Primary practice address
3031 Telegraph Ave Ste 241 Berkeley CA 94705-2051
Phone: (510) 549-2037
Fax: (510) 549-2690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X G40776 California
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X G40776 California

Profile Details

NPI number 1871576603
LBN Legal business name Lord, Janet Phyllis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Nov 15th, 2018 - about 8 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 1871576603 NPPES
California MEDICAID 006407760

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