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NPI Code Detail

MEDICARE: MS. LORNA CONTRERAS

MEDICARE: MS. LORNA CONTRERAS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1447580568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORNA CONTRERAS
Provider Business Mailing Address
First Line : 2727 MACDONALD AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94804-3006
Country : US
Telephone Number : 510-779-3189
Fax Number :
Provider Business Practice Location Address
First Line : 2727 MACDONALD AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94804-3006
Country : US
Telephone Number : 510-779-3189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2010
Last Update Date : 01/12/2010

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Directions to “ MS. LORNA CONTRERAS ” Practice Location

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