Mark Lollar, M.D. Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A50219 Issued in CA

Legal business name

MARK LOLLAR, M.D. INC

Doing business as

Mark Lollar, M.D.

Practice address

5201 Norris Canyon Rd Ste 310
San Ramon, CA 94583-5405

Phone

(925) 327-1500

Fax

(925) 327-1900

NPI assigned

Aug 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark William Lee Lollar, M.D.

Title

Physician/Owner

Phone

(925) 327-1500

Specialties & licenses 1

Addresses

Other names 1

• Mark Lollar, M.D. Doing business as

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1558676569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 NORRIS CANYON RD STE 310",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835405",
            "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 STE 310",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835405",
            "telephone_number": "925-327-1500",
            "fax_number": "925-327-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LOLLAR, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "LOLLAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM LEE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "925-327-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A50219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Lollar, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Specialist 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.