Kam, Lori Dianne
Kam, Lori Dianne is an individual health care provider with primary practice located at 2248 Sunrise Blvd , Gold River CA 95670-4342. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kam, Lori Dianne can be contacted via phone (916) 638-3878.Contact Information
Primary practice address
2248 Sunrise Blvd
Gold River CA 95670-4342
Phone: (916) 638-3878
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9015T | California |
Profile Details
| NPI number | 1609862960 |
|---|---|
| LBN Legal business name | Kam, Lori Dianne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 8th, 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 | 1609862960 | NPPES |
| California | MEDICAID | SD0090150 | |
| California | MEDICAID | SD0090151 | |
| California | Other | 4481310001 | |
| California | Other | 4481310002 |
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