Irizar, Lourdes Cristina
Irizar, Lourdes Cristina is an sole proprietor health care provider with primary practice located at 1328 Joe Frank Harris Pkwy Se , Cartersville GA 30120-4221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Irizar, Lourdes Cristina can be contacted via phone (770) 382-0029.Contact Information
Primary practice address
1328 Joe Frank Harris Pkwy Se
Cartersville GA 30120-4221
Phone: (770) 382-0029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP3025842 | Florida |
Profile Details
| NPI number | 1043496029 |
|---|---|
| LBN Legal business name | Irizar, Lourdes Cristina |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2008 |
| Last updated | Jun 4th, 2021 - about 5 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 | 1043496029 | NPPES |
| Florida | MEDICAID | 001536200 |
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