Provider Type Icon

MARK LOLLAR M.D. INC NPI 1558676569


NPI Information

NPI: 1558676569
Provider Name: MARK LOLLAR, M.D. INC

Doing Business As: MARK LOLLAR, M.D.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5201 NORRIS CANYON RD STE 310
SAN RAMON, CA
ZIP 94583
Phone: (925) 327-1500
Get Directions

MARK LOLLAR, M.D. INC is a specialist in San Ramon, CA. The provider is 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. MARK LOLLAR, M.D. INC NPI is 1558676569. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mark Lollar, M.d..

The provider's business location address is:

5201 NORRIS CANYON RD STE 310
SAN RAMON, CA
ZIP 94583-405
Phone: (925) 327-1500
Fax: (925) 327-1900

The provider's authorized official is Mark William Lee Lollar .
The authorized official title is Physician/owner and has the following contact phone number (925) 327-1500.

The enumeration date for this NPI number is 8/13/2010 and was last updated on 8/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA50219CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F49986MEDICARE UPINCALIFORNIA
200A502190MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.