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Individual

LORRA MARIE SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1955 CITRACADO PKWY STE 200, ESCONDIDO, CA 92029-4112
(760) 743-4789
(858) 673-5187
Mailing address
15611 POMERADO RD STE 400, POWAY, CA 92064-2437
(858) 675-3100
(858) 613-2930

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
A117353
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A117353
CA LISENCE
CA
Enumeration date
07/31/2006
Last updated
06/07/2019
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