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Individual

LORRAINE MARY FARKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, RN,CNM

Contact information

Practice address
35 CASA ST STE 220, SAN LUIS OBISPO, CA 93405-1890
(805) 595-1808
(805) 595-1815
Mailing address
1941 N WISHON AVE, FRESNO, CA 93704-6153
(559) 443-1609
(559) 224-3920

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5639
CA
363LW0102X
Women's Health Nurse Practitioner
969
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
295433
REGISTERED NURSE LIC
CA
01
5639
NURSE PRACTITIONER LIC
CA
Enumeration date
01/10/2006
Last updated
01/14/2019
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