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LONNIE WARREN FREI M.D.

Trauma Surgery >> Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1114976099

Individual Registrant:
 LONNIE WARREN FREI M.D.
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

Contact information for business:
2101 N WATERMAN AVE  SAN BERNARDINO, CA 92404-4836 US
Tel: (90-9) -881-7605  Fax: 760-656-1199

Registration Information:
NPI: 1114976099
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2086S0127XAllopathic & Osteopathic Physicians
Surgery
Trauma Surgery
MS20331
N2086S0127XAllopathic & Osteopathic Physicians
Surgery
PAMD428718
Y2086S0102XAllopathic & Osteopathic Physicians
Surgery
CAG85975

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AMERICHOICE BUCKS DIVISIO101672108-03PA01
HEALTH PARTNERS12618PA01
PERSONAL CHOICE1374973PA01
AMERICHOICE TORRESDALE DI101672108-01PA01
1016721080003PA05
1016721080002PA05
1016721080001PA05
05388848MS05
159193AL05
HIGHMARK BLUE SHIELD1374973PA01
AMERICHOICE FRANKFORD DIV101672108-02PA01
KEYSTONE MERCY30034495PA01
KEYSTONE, IBC2066559000PA01




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