Tan, Lorena H
Tan, Lorena H is an sole proprietor health care provider with primary practice located at 1133 E Stanley Blvd Suite 201, Livermore CA 94550-4200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tan, Lorena H can be contacted via phone (925) 443-9000.Contact Information
Primary practice address
1133 E Stanley Blvd Suite 201
Livermore CA 94550-4200
Phone: (925) 443-9000
Fax: (925) 443-9009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A61352 | California |
Profile Details
| NPI number | 1417957697 |
|---|---|
| LBN Legal business name | Tan, Lorena H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Nov 15th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417957697 | NPPES |
| California | MEDICAID | 00A613520 |
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