Lionel Winton Sorenson
Ophthalmologist
3010 Colby St Ste 114
Berkeley
, California 94705-2059
Lionel Winton Sorenson
Ophthalmologist
3010 Colby St Ste 114
Berkeley
, California 94705-2059
(510) 848-7347
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Lionel Winton Sorenson
- 3010 Colby St Ste 114
- Berkeley, CA
- Zip : 94705-2059
- Fax : (510) 848-7347
- Phone : (510) 848-1413
Second Address
- Lionel Winton Sorenson
- 3010 Colby St Ste 114
- Berkeley, CA
- Zip : 94705-2059
- Fax : (510) 848-7347
- Phone : (510) 848-1413
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | A15446 | CA |
National Provider Identifier
| NPI | 1033200639 |
|---|---|
| Provider Name | Lionel Winton Sorenson |
| First Address | Berkeley, CA 94705-2059 |
| Second Address | Berkeley, CA 94705-2059 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 17/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A15446 | STATE LICENSE NUMBER (01) | CA |
| A20140 | (02) | CA |
| GR0021950 | (05) | 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.