Lorenzo-Rivero, Shauna
Lorenzo-Rivero, Shauna is an individual health care provider with primary practice located at 613 23Rd St Ste 430 , Ashland KY 41101-2885. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Lorenzo-Rivero, Shauna can be contacted via phone (606) 408-8200.Contact Information
Primary practice address
613 23Rd St Ste 430
Ashland KY 41101-2885
Phone: (606) 408-8200
Fax: (606) 408-6291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD43226 | Tennessee |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 57522 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 57522 | Kentucky |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 43226 | Tennessee |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 35.146884 | Ohio |
Profile Details
| NPI number | 1336169804 |
|---|---|
| LBN Legal business name | Lorenzo-Rivero, Shauna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jun 27th, 2023 - about 3 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 | 1336169804 | NPPES |
| Alabama | MEDICAID | 101313 | |
| Alabama | Other | 5829223 | |
| Alabama | MEDICAID | 259908999A | |
| Alabama | MEDICAID | 1507110 | |
| Alabama | Other | P00643432 | |
| Alabama | Other | 4187700 |
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