Lorre T Henderson, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

C41977 Issued in CA

Practice address

3 Medical Plaza Dr Ste 220
Roseville, CA 95661-3088

Phone

(916) 773-7920

Fax

(916) 773-7921

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: lhenderson50244@hisp.ehr.sutterhealth.org

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942398847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255668",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655668",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PLAZA DR STE 220",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613088",
            "telephone_number": "916-773-7920",
            "fax_number": "916-773-7921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2702 Low Ct",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945349727",
            "country_code": "US",
            "telephone_number": "707-432-2600",
            "fax_number": "707-432-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LORRE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "C41977",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C41977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C419770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ursula K. Hempstead, MD
• John Paul Henao, M.D.
• Colleen M. Hendershott, MD
• Gary Lynn Henderson, MFT
• Gregory Henderson
• Hendricks Medical Corporation
• Ed Jerald Hendricks, M.D.
• Lynn Michele Hendrickson-Andres, MS, CCC-SLP
• Jay A Hendrickson, M.D.
• Artur Z. Henke, MD

• Otolaryngology Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.