Whalio Doctors

NPI 1558676569

Mark Lollar, M.D. INC

Organisation Specialist San Ramon, CA

Practice location

Address
5201 Norris Canyon Rd STE 310, San Ramon, CA 94583-5405
Phone
(925) 327-1500
Fax
(925) 327-1900

Authorised official

Name
Mark William Lee Lollar
Title
Physician/Owner
Phone
(925) 327-1500

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence A50219 (CA)

Registry record

NPI
1558676569
Entity type
Organization
NPI issued
13 Aug 2010
Record last updated
13 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.