Healthcare Provider Details

I. General information

NPI: 1447223169
Provider Name (Legal Business Name): LORRAINE MARJORIE ASH D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 02/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9602 STOCKDALE HWY
BAKERSFIELD CA
93311-3618
US

IV. Provider business mailing address

5655 HUDSON DR STE 210 ARIS RADIOLOGY
HUDSON OH
44236-4455
US

V. Phone/Fax

Practice location:
  • Phone: 661-633-5000
  • Fax:
Mailing address:
  • Phone: 330-655-1869
  • Fax: 330-655-3828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number249473
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number20A8182
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number5101017114
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: