Individual
LORRAINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1245 16TH ST STE 303, SANTA MONICA, CA 90404-1265
(310) 481-4646
(310) 899-7599
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A121140
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
A121140
CA
Other
Enumeration date
05/03/2011
Last updated
01/03/2020
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