Provider Demographics
NPI:1558407197
Name:SUNDAY, LORRAINE NKEIRU (MD/PHD)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:NKEIRU
Last Name:SUNDAY
Suffix:
Gender:F
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12951
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92658-5080
Mailing Address - Country:US
Mailing Address - Phone:949-701-8699
Mailing Address - Fax:
Practice Address - Street 1:1045 N TUSTIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5904
Practice Address - Country:US
Practice Address - Phone:714-288-8303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 80570208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice