Castillo, Lorena A.

Castillo, Lorena A. is an individual health care provider with primary practice located at 1505 Northside Blvd Ste 4600 , Cumming GA 30041-7658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Castillo, Lorena A. can be contacted via phone (770) 205-5292.

Contact Information

Primary practice address
1505 Northside Blvd Ste 4600 Cumming GA 30041-7658
Phone: (770) 205-5292
Fax: (404) 205-5291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7131 Georgia

Profile Details

NPI number 1194116616
LBN Legal business name Castillo, Lorena A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2015
Last updated Jul 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194116616 NPPES
Georgia MEDICAID 003176164D
Georgia MEDICAID 003176164E
Georgia Other G15813B

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