Provider Demographics
NPI:1841262193
Name:LABEL, LORNE SHELDON (MD MBA)
Entity type:Individual
Prefix:MR
First Name:LORNE
Middle Name:SHELDON
Last Name:LABEL
Suffix:
Gender:M
Credentials:MD MBA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2100 LYNN RD
Mailing Address - Street 2:STE 230, TO DR LABELS OFFICE ONLY
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360
Mailing Address - Country:US
Mailing Address - Phone:805-497-4500
Mailing Address - Fax:805-495-1717
Practice Address - Street 1:2100 LYNN RD
Practice Address - Street 2:STE 230
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360
Practice Address - Country:US
Practice Address - Phone:805-497-4500
Practice Address - Fax:805-495-1717
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG476232084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G476230Medicaid
CA00G476230Medicaid
CAWG47623BMedicare PIN