Mark William Lee Lollar, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A50219 Issued in CA

Practice address

5201 Norris Canyon Rd
#310
San Ramon, CA 94583-5406

Phone

(925) 327-1500

Fax

(925) 327-1900

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1124119623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 NORRIS CANYON RD",
            "address_2": "#310",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-327-1500",
            "fax_number": "925-327-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NORRIS CANYON RD",
            "address_2": "#310",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835406",
            "telephone_number": "925-327-1500",
            "fax_number": "925-327-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLAR",
        "first_name": "MARK",
        "middle_name": "WILLIAM LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A50219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelton Lo
• Lornise Logan-Berry
• Courtney Logan
• Dawn Marie Logan
• Emi Loli Romero
• Richard J Long, M.D.
• Soklinda Long
• Thomas Francis Long, MD
• Longs Drug Stores California LLC
• Longs Drug Stores California LLC

• Obstetrics & Gynecology Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.