Individual
DR. RAE LINDSAY BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 ORINDA WAY, SUITE C, PMB 276, ORINDA, CA 94563-2530
(925) 257-2896
(925) 913-7044
Mailing address
21 ORINDA WAY, SUITE C, PMB 276, ORINDA, CA 94563-2530
(925) 257-2896
(925) 913-7044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-00114
NC
207R00000X
Internal Medicine Physician
235755
NY
207R00000X
Internal Medicine Physician
A94483
CA
207RR0500X
Rheumatology Physician
Primary
A94483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356569628
NPI NUMBER
—
01
—
A94483
CALIFORNIA LICENCE
CA
Enumeration date
04/23/2007
Last updated
02/11/2022
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