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Organization
MARK LOLLAR, M.D. INC
Active
Organization
MARK LOLLAR, M.D. INC
Active
Other names
Mark Lollar, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILLIAM LEE LOLLAR M.D. (PHYSICIAN/OWNER)
(925) 327-1500
Entity
Organization
Contact information
Practice address
5201 NORRIS CANYON RD STE 310, SAN RAMON, CA 94583-5405
(925) 327-1500
(925) 327-1900
Mailing address
5201 NORRIS CANYON RD STE 310, SAN RAMON, CA 94583-5405
(925) 327-1500
(925) 327-1900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A50219
CA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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