Individual
LONNIE WARREN FREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 881-7605
(760) 656-1199
Mailing address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 881-7605
(760) 656-1199
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
G85975
CA
2086S0127X
Trauma Surgery Physician
20331
MS
2086S0127X
Trauma Surgery Physician
MD428718
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05388848
—
MS
01
—
101672108-01
AMERICHOICE TORRESDALE DI
PA
01
—
101672108-02
AMERICHOICE FRANKFORD DIV
PA
01
—
101672108-03
AMERICHOICE BUCKS DIVISIO
PA
05
—
1016721080001
—
PA
05
—
1016721080002
—
PA
05
—
1016721080003
—
PA
01
—
12618
HEALTH PARTNERS
PA
01
—
1374973
PERSONAL CHOICE
PA
05
—
159193
—
AL
01
—
2066559000
KEYSTONE, IBC
PA
01
—
30034495
KEYSTONE MERCY
PA
Enumeration date
05/09/2006
Last updated
07/21/2022
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