Provider Demographics
NPI:1083760292
Name:WALKER, LORRAINE ANNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:ANNETTE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3300 W COAST HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4026
Mailing Address - Country:US
Mailing Address - Phone:949-491-9991
Mailing Address - Fax:949-258-5858
Practice Address - Street 1:3300 W COAST HWY
Practice Address - Street 2:SUITE A
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4026
Practice Address - Country:US
Practice Address - Phone:949-491-9991
Practice Address - Fax:949-258-5858
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2016-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG57329207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE92478Medicare UPIN