Doctor Name: | MS. LORRAINE CASTANON |
NPI Number: | 1124235197 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 24004AP |
Business Practice Address: | 83 E Shaw Ave Ste 102 Fresno, CA - 937107620 |
Business Phone Number: | 5592260167 |
Business Fax Number: | 5592261559 |
Mailing Address: | 1945 E Cornell Ave, FRESNO |
State: | CA |
Postal Code: | 937031023 |
Phone Number: | 5597797205 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 12/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 24004AP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |