Provider Demographics
NPI:1689689176
Name:SHARP, LORRA MARIE (MD)
Entity Type:Individual
Prefix:
First Name:LORRA
Middle Name:MARIE
Last Name:SHARP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15611 POMERADO RD STE 400
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2437
Mailing Address - Country:US
Mailing Address - Phone:858-675-3100
Mailing Address - Fax:858-613-2930
Practice Address - Street 1:1955 CITRACADO PKWY STE 200
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-4112
Practice Address - Country:US
Practice Address - Phone:760-743-4789
Practice Address - Fax:858-673-5187
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2019-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA117353207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA117353OtherCA LISENCE