Individual
LORNA A COGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2023 VALE RD, SUITE 8, SAN PABLO, CA 94806-3834
(510) 215-9930
(510) 215-9940
Mailing address
2023 VALE RD, SUITE 8, SAN PABLO, CA 94806-3834
(510) 215-9930
(510) 215-9940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C39042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C390420
—
CA
Enumeration date
02/01/2006
Last updated
12/29/2009
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