Fredrikson, Lorna J
Fredrikson, Lorna J is an individual health care provider with primary practice located at 10565 N Tatum Blvd Suite # B-116, Paradise Valley AZ 85253-1095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Fredrikson, Lorna J can be contacted via phone (480) 991-3203.Contact Information
Primary practice address
10565 N Tatum Blvd Suite # B-116
Paradise Valley AZ 85253-1095
Phone: (480) 991-3203
Fax: (480) 991-3997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 24587 | Arizona |
Profile Details
| NPI number | 1417992033 |
|---|---|
| LBN Legal business name | Fredrikson, Lorna J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Dec 5th, 2007 - about 18 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 | 1417992033 | NPPES |
| Arizona | MEDICAID | 364597 |
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