Henderson, Lorre T

Henderson, Lorre T is an individual health care provider with primary practice located at 3 Medical Plaza Dr Ste 220 , Roseville CA 95661-3088. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Henderson, Lorre T can be contacted via phone (916) 773-7920.

Contact Information

Primary practice address
3 Medical Plaza Dr Ste 220 Roseville CA 95661-3088
Phone: (916) 773-7920
Fax: (916) 773-7921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X C41977 California
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X C41977 California

Profile Details

NPI number 1942398847
LBN Legal business name Henderson, Lorre T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Mar 17th, 2018 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942398847 NPPES
California MEDICAID 00C419770

Popular Providers