Nakashima, Carol Lynn

Nakashima, Carol Lynn is an individual health care provider with primary practice located at 999 S Fairmont Ave Ste 200, Lodi CA 95240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Nakashima, Carol Lynn can be contacted via phone (209) 334-3333.

Contact Information

Primary practice address
999 S Fairmont Ave Ste 200 Lodi CA 95240
Fax: (209) 369-2641
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G47899 California

Profile Details

NPI number 1568487213
LBN Legal business name Nakashima, Carol Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 29th, 2010 - about 16 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 1568487213 NPPES
California MEDICAID GR0022330

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