Organization
LORRIE J KLEIN MD APC
Active
Organization
LORRIE J KLEIN MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRIE J KLEIN M.D. (PRESIDENT)
(949) 363-1788
Entity
Organization
Contact information
Practice address
30201 GOLDEN LANTERN STE B, LAGUNA NIGUEL, CA 92677-5979
(949) 363-1788
(949) 363-1607
Mailing address
30201 GOLDEN LANTERN STE B, LAGUNA NIGUEL, CA 92677-5979
(949) 363-1788
(949) 363-1607
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G58945
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G58945
CA
207ND0900X
Dermatopathology Physician
G58945
CA
207NS0135X
Procedural Dermatology Physician
G58945
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508852799
NPI# TYPE 1
CA
01
—
G58945
STATE LIC
CA
01
—
W21384
GROUP PTAN
CA
Enumeration date
07/16/2006
Last updated
03/11/2015
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