Dominick, Lorraine Mae

Dominick, Lorraine Mae is an individual health care provider with primary practice located at 1310 San Bernardino Rd , Upland CA 91786-4979. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dominick, Lorraine Mae can be contacted via phone (909) 579-0806.

Contact Information

Primary practice address
1310 San Bernardino Rd Upland CA 91786-4979
Phone: (909) 579-0806
Fax: (909) 579-1331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 23698 California

Profile Details

NPI number 1205265931
LBN Legal business name Dominick, Lorraine Mae
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2013
Last updated Nov 4th, 2013 - about 11 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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