Greene, Lawanda
Greene, Lawanda is an individual health care provider with primary practice located at 770 Walnut St , Macon GA 31201-7307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Greene, Lawanda can be contacted via phone (478) 787-4266.Contact Information
Primary practice address
770 Walnut St
Macon GA 31201-7307
Phone: (478) 787-4266
Fax: (478) 787-4199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RN176432 | Georgia |
Profile Details
| NPI number | 1598152811 |
|---|---|
| LBN Legal business name | Greene, Lawanda |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2015 |
| Last updated | May 11th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598152811 | NPPES |
| Georgia | MEDICAID | 713878795A |
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