LORRE T HENDERSON (MD) – Otolaryngology Physician, NPI 1942398847

Otolaryngology Physician

LORRE T HENDERSON (MD) is a healthcare provider. based in Fairfield, California. specializing in Otolaryngology Physician. They hold the professional credentials MD. They hold a License No. C41977 (CA). The NPI Number for LORRE T HENDERSON (MD) is 1942398847

Main info

Male

45 Years Of Experience

Accepts Medicare Assignment

Name

LORRE T HENDERSON (MD)

NPI

1942398847

Phone

(707) 432-2600

Address

2702 Low Ct

Enumeration Date

10 October 2006

Last Update Date

17 March 2018

Doctor Profile

Medical School Name

UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON

Secondary Phone

9164546868

Graduation Year

1981 (45 years ago)

PAC ID

9931155355

Group Practice PAC ID

9830094515

Professional Enrollment ID

I20050329000233

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience57

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for LORRE T HENDERSON (MD)

2702 Low Ct
Fairfield, CA 945349727
Phone: (707) 432-2600
Fax: (707) 432-2666
Type: Location
PO BOX 255668
SACRAMENTO, CA 958655668
Phone: (800) 470-0071
Type: Mailing
3 MEDICAL PLAZA DR STE 220
ROSEVILLE, CA 956613088
Phone: (916) 773-7920
Fax: (916) 773-7921
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94534)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9830094515View full group profile

Name	Specialty	State
DR. AMIN MATIN (M.D., M.P.H.)	Diagnostic Radiology	CA
JAMES J STEIDLER (MD)	Diagnostic Radiology	CA
DR. ANNE AN-RU CHEN (M.D.)	Internal Medicine	CA
RONALD D. JENSEN (DPM)	-	CA
PALLAVI SHARMA (MD)	Family Practice	CA
GARRETT P RYLE (MD)	-	CA
KENNETH IMANAKA (MD)	-	CA
JUN LU (M.D.)	Allergy/Immunology, Rheumatology	CA
MARY ANN MARKIEWITZ (PA-C)	Physician Assistant	CA
MARIAH DAWN HUGHES (PA-C)	Physician Assistant	CA