Provider Demographics
NPI:1306028709
Name:LOIS BARNES, M.D. INC.,
Entity Type:Organization
Organization Name:LOIS BARNES, M.D. INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-289-9405
Mailing Address - Street 1:3460 LOMA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3026
Mailing Address - Country:US
Mailing Address - Phone:805-289-9405
Mailing Address - Fax:805-289-9457
Practice Address - Street 1:3460 LOMA VISTA RD
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3026
Practice Address - Country:US
Practice Address - Phone:805-289-9405
Practice Address - Fax:805-289-9457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG58467207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1134233521OtherNPI
CAWG58467MOtherMEDICARE INDIVIDUAL#
CA00G5484670Medicaid
CAA53412Medicare UPIN
CAW21534Medicare PIN