Individual
ROBERT LYNN SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3010 COLBY ST, STE 114, BERKELEY, CA 94705-2059
(510) 848-1413
(510) 848-7347
Mailing address
3010 COLBY ST, STE 114, BERKELEY, CA 94705-2059
(510) 848-1413
(510) 848-7347
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G045092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G045092
STATE LICENSE
CA
05
—
GR0021950
—
CA
Enumeration date
09/27/2006
Last updated
04/17/2008
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