Individual
DR. LORAINE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 W 4TH ST, MADERA, CA 93637-4423
(559) 674-4343
Mailing address
1625 HOWARD RD # 277, MADERA, CA 93637-5128
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
G52751
CA
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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