Individual
DR. LORRAINE MARLIN MASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 773-6500
Mailing address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 773-6500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G52994
CA
207RP1001X
Pulmonary Disease Physician
Primary
G52994
CA
208M00000X
Hospitalist Physician
G52994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G529940
—
CA
01
—
G52994
PRIVATE INSURANCE
CA
Enumeration date
10/06/2005
Last updated
03/10/2022
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