Dr. Lorane Mittie Dick
Neuromusculoskeletal Medicine (NMM)
554 E Foothill Blvd Ste. 120
San Dimas
, California 91773-1222
Dr. Lorane Mittie Dick
Neuromusculoskeletal Medicine (NMM)
554 E Foothill Blvd Ste. 120
San Dimas
, California 91773-1222
(909) 592-8399
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. Lorane Mittie Dick
- 554 E Foothill Blvd Ste. 120
- San Dimas, CA
- Zip : 91773-1222
- Fax : (909) 592-8399
- Phone : (909) 592-8399
Second Address
- Dr. Lorane Mittie Dick
- 554 E Foothill Blvd Ste. 120
- San Dimas, CA
- Zip : 91773-1222
- Fax : (909) 592-8399
- Phone : (909) 592-8399
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A4508 | CA |
National Provider Identifier
| NPI | 1174554927 |
|---|---|
| Provider Name | Dr. Lorane Mittie Dick |
| First Address | San Dimas, CA 91773-1222 |
| Second Address | San Dimas, CA 91773-1222 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 29/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 954209592 | INSURANCE (01) | CA |
| E05413 | (02) | |
| ZZZ077312 | BLUE SHIELD OF CALIFORNIA (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.