Individual provider · NPI-1

Lonnie Chatman, P.A.

Physician Assistant, Surgical · La Habra, CA

NPI number1497778591
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1497778591
Entity type
Individual (NPI-1)
Name
Lonnie Chatman
Credential
P.A.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, SurgicalPA50936CAYes

Practice location

1400 S Harbor Blvd Ste A
La Habra, CA 90631-7577

Phone 714-879-3400 · Fax 714-441-1998

Mailing address

1400 S Harbor Blvd Ste A
La Habra, CA 90631-7577

Phone 714-879-3400 · Fax 714-441-1998

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