Leonard, Lori

Leonard, Lori is an individual health care provider with primary practice located at 6 Mathis Dr Nw , Rome GA 30165-1242. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Leonard, Lori can be contacted via phone (706) 233-9023.

Contact Information

Primary practice address
6 Mathis Dr Nw Rome GA 30165-1242
Phone: (706) 233-9023
Fax: (706) 235-1585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN123700 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN123700 Georgia

Profile Details

NPI number 1811314644
LBN Legal business name Leonard, Lori
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2014
Last updated Jun 1st, 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 1811314644 NPPES
Georgia MEDICAID 003146775

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