Individual
DR. LOREN ANTHONY LAINE
Active
Individual
DR. LOREN ANTHONY LAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1.052363
CT
207RG0100X
Gastroenterology Physician
G43237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G432370
BLUE SHIELD
CA
05
—
00G432370
—
CA
01
—
100007942
RAILROAD MEDICARE
CA
01
—
1356390009
GROUP NPI
CA
01
—
CE1617
GROUP RAILROAD MEDICARE
CA
01
—
GR0016910
GROUP MEDICAID PIN
CA
01
—
W11675
GROUP MEDICARE PIN
CA
Enumeration date
07/07/2006
Last updated
07/10/2018
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