Provider Demographics
NPI:1881672228
Name:BISSON, LORNA A (MD)
Entity Type:Individual
Prefix:DR
First Name:LORNA
Middle Name:A
Last Name:BISSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LORNA
Other - Middle Name:ANN
Other - Last Name:WESTFALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3350 LA JOLLA VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92161-0002
Mailing Address - Country:US
Mailing Address - Phone:858-646-2811
Mailing Address - Fax:858-642-6273
Practice Address - Street 1:3350 LA JOLLA VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0002
Practice Address - Country:US
Practice Address - Phone:858-646-2811
Practice Address - Fax:858-642-6273
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39379207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine