Provider Demographics
NPI:1841514726
Name:SEID, TERRENCE LIAM LONERGAN (DO)
Entity type:Individual
Prefix:MR
First Name:TERRENCE
Middle Name:LIAM LONERGAN
Last Name:SEID
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:955 BLANCO CIR STE A
Mailing Address - Street 2:BOX 356540
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4452
Mailing Address - Country:US
Mailing Address - Phone:831-753-5800
Mailing Address - Fax:
Practice Address - Street 1:955 BLANCO CIR STE A
Practice Address - Street 2:BOX 356540
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4452
Practice Address - Country:US
Practice Address - Phone:831-753-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-20
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA20A13336207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program