Henderson, Lori

Henderson, Lori is an sole proprietor health care provider with primary practice located at 624 Tebeau St , Waycross GA 31501-4728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Henderson, Lori can be contacted via phone (912) 809-6052.

Contact Information

Primary practice address
624 Tebeau St Waycross GA 31501-4728
Phone: (912) 809-6052
Fax: (912) 809-6070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 133742 Georgia

Profile Details

NPI number 1871047399
LBN Legal business name Henderson, Lori
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2016
Last updated Mar 27th, 2019 - about 7 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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