Provider Demographics
NPI:1588750244
Name:STEGE, LORRAINE E (NP)
Entity type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:E
Last Name:STEGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:LORRAINE
Other - Middle Name:E
Other - Last Name:NALLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:723 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2315
Mailing Address - Country:US
Mailing Address - Phone:805-237-3050
Mailing Address - Fax:805-237-3057
Practice Address - Street 1:723 WALNUT DR
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-2315
Practice Address - Country:US
Practice Address - Phone:805-237-3050
Practice Address - Fax:805-237-3057
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3130363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFHC71033FMedicaid
CA051847Medicare Oscar/Certification
CAW1508FMedicare PIN
CA551982Medicare Oscar/Certification
CA551903Medicare Oscar/Certification
W1508AMedicare PIN
CA551907Medicare Oscar/Certification
W1508Medicare PIN