Uradomo, Lance T.

Uradomo, Lance T. is an individual health care provider with primary practice located at 1000 Fivepoint , Irvine CA 92618-2377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Uradomo, Lance T. can be contacted via phone (949) 671-4673.

Contact Information

Primary practice address
1000 Fivepoint Irvine CA 92618-2377
Phone: (949) 671-4673
Fax: (949) 671-4329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X C180512 California
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D64182 Maryland

Profile Details

NPI number 1316970171
LBN Legal business name Uradomo, Lance T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 19th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316970171 NPPES
Maryland Other 891075-01 BLUE CROSS/BLUE SHIELD
Maryland MEDICAID 410913900 BLUE CROSS/BLUE SHIELD

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