Individual
MRS. LORRAINE MAE DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1310 SAN BERNARDINO RD, UPLAND, CA 91786-4979
(909) 579-0806
(909) 579-1331
Mailing address
8735 MANDARIN AVE, ALTA LOMA, CA 91701-3368
(909) 395-7146
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
23698
CA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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