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Contact Information

LORRE T HENDERSON, MD
3 MEDICAL PLAZA DR STE 220
ROSEVILLE, CA95661-3088
 Phone: 916-773-7920
 Fax: 916-773-7921
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for LORRE T HENDERSON · (Male)

NPI # 1942398847
Status Active
Credentials MD
Entity Individual
Enumeration date 10/10/2006
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C41977
  • CA Medicaid 00C419770
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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