Individual
LORRAINE ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 N ROCK RD, DERBY, KS 67037
(316) 788-6963
(316) 788-5373
Mailing address
1101 N ROCK RD, DERBY, KS 67037-3735
(316) 788-6963
(316) 788-5373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-25876
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057434
BC/BS
KS
01
—
080145154
MEDICARE RAILRAOD
KS
Enumeration date
08/05/2006
Last updated
06/05/2018
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