Provider Demographics
NPI:1568681526
Name:STEINBAUM, LOLA S (MD)
Entity Type:Individual
Prefix:DR
First Name:LOLA
Middle Name:S
Last Name:STEINBAUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LOLA
Other - Middle Name:S
Other - Last Name:CORNELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1601 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-2024
Mailing Address - Country:US
Mailing Address - Phone:831-800-2210
Mailing Address - Fax:831-800-2212
Practice Address - Street 1:1601 SUNSET DR
Practice Address - Street 2:
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-2024
Practice Address - Country:US
Practice Address - Phone:831-717-0050
Practice Address - Fax:831-717-0052
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG304312081H0002X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACJ432ZMedicare UPIN