Bonner, Lorraine

Bonner, Lorraine is an individual health care provider with primary practice located at 2070 Clinton Ave Rm 2113, Alameda CA 94501-4320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bonner, Lorraine can be contacted via phone (510) 814-4397.

Contact Information

Primary practice address
2070 Clinton Ave Rm 2113 Alameda CA 94501-4320
Fax: (510) 814-4391
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G37622 California

Profile Details

NPI number 1033188149
LBN Legal business name Bonner, Lorraine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 16th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033188149 NPPES
California MEDICAID 00G376220

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