Provider Demographics
NPI:1669740247
Name:SWABY, LORRAINE ANN-MARIE (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MISS
First Name:LORRAINE
Middle Name:ANN-MARIE
Last Name:SWABY
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:22224 LA PALMA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3819
Mailing Address - Country:US
Mailing Address - Phone:741-692-7140
Mailing Address - Fax:714-696-7767
Practice Address - Street 1:22224 LA PALMA AVE STE A
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-3819
Practice Address - Country:US
Practice Address - Phone:714-692-7140
Practice Address - Fax:714-696-7767
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2022-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA21964363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant