Coleman, Lori A
Coleman, Lori A is an individual health care provider with primary practice located at 769 Medical Center Court Cancer Center, Chula Vista CA 91911. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Coleman, Lori A can be contacted via phone (619) 502-5851.Contact Information
Primary practice address
769 Medical Center Court Cancer Center
Chula Vista CA 91911
Phone: (619) 502-5851
Fax: (619) 502-5865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G78635 | California |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | G78635 | California |
Profile Details
| NPI number | 1053348920 |
|---|---|
| LBN Legal business name | Coleman, Lori A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Feb 12th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053348920 | NPPES |
| California | Other | G78635 | MEDICAL LICENSE |
| California | MEDICAID | 00G786350 | MEDICAL LICENSE |
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