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LONNIE WARREN FREI M.D.
Trauma Surgery >> Surgery >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1114976099
Individual Registrant: LONNIE WARREN FREI M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2101 N WATERMAN AVE SAN BERNARDINO, CA 92404-4836 US
Tel: 909-881-7605 Fax: 760-656-1199
Tel: 909-881-7605 Fax: 760-656-1199
Contact information for business:
2101 N WATERMAN AVE SAN BERNARDINO, CA 92404-4836 US
Tel: (90-9) -881-7605 Fax: 760-656-1199
Tel: (90-9) -881-7605 Fax: 760-656-1199
Registration Information:
NPI: 1114976099
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2086S0127X | Allopathic & Osteopathic Physicians Surgery Trauma Surgery | MS | 20331 |
| N | 2086S0127X | Allopathic & Osteopathic Physicians Surgery | PA | MD428718 |
| Y | 2086S0102X | Allopathic & Osteopathic Physicians Surgery | CA | G85975 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| AMERICHOICE BUCKS DIVISIO | 101672108-03 | PA | 01 |
| HEALTH PARTNERS | 12618 | PA | 01 |
| PERSONAL CHOICE | 1374973 | PA | 01 |
| AMERICHOICE TORRESDALE DI | 101672108-01 | PA | 01 |
| 1016721080003 | PA | 05 | |
| 1016721080002 | PA | 05 | |
| 1016721080001 | PA | 05 | |
| 05388848 | MS | 05 | |
| 159193 | AL | 05 | |
| HIGHMARK BLUE SHIELD | 1374973 | PA | 01 |
| AMERICHOICE FRANKFORD DIV | 101672108-02 | PA | 01 |
| KEYSTONE MERCY | 30034495 | PA | 01 |
| KEYSTONE, IBC | 2066559000 | PA | 01 |
