Provider Demographics
NPI:1700876208
Name:VEGA, LORNA I (MD)
Entity Type:Individual
Prefix:MRS
First Name:LORNA
Middle Name:I
Last Name:VEGA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:CALL BOX 7886 PMB 510
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-7886
Mailing Address - Country:US
Mailing Address - Phone:787-740-6520
Mailing Address - Fax:787-740-6520
Practice Address - Street 1:73 CALLE SANTA CRUZ
Practice Address - Street 2:STE 301
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6911
Practice Address - Country:US
Practice Address - Phone:787-740-6520
Practice Address - Fax:787-740-6520
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2012-10-02
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Provider Licenses
StateLicense IDTaxonomies
PR11132208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics