MEDICARE: MS. LORRAINE E STEGE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	3130	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588750244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORRAINE E STEGE NP

Provider Business Mailing Address
First Line	:	723 WALNUT DR
Second Line	:
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-2315
Country	:	US
Telephone Number	:	805-237-3050
Fax Number	:	805-237-3057

Provider Business Practice Location Address
First Line	:	723 WALNUT DR
Second Line	:
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-2315
Country	:	US
Telephone Number	:	805-237-3050
Fax Number	:	805-237-3057

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	12/14/2016

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