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Individual

MARK LONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 W STEWART DR, ORANGE, CA 92868-3849
(714) 771-8176
Mailing address
1100 W STEWART DR, ORANGE, CA 92868-3849
(714) 771-8176

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A43615
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A436150
MEDI-CAL
CA
Enumeration date
12/02/2006
Last updated
10/11/2007
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