Lores, Susan S

Lores, Susan S is an individual health care provider with primary practice located at 1800 Northside Forsyth Dr Suite 350, Cumming GA 30041-8416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Lores, Susan S can be contacted via phone (770) 205-6501.

Contact Information

Primary practice address
1800 Northside Forsyth Dr Suite 350 Cumming GA 30041-8416
Phone: (770) 205-6501
Fax: (404) 303-1325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN134164 Georgia

Profile Details

NPI number 1417908815
LBN Legal business name Lores, Susan S
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417908815 NPPES
Georgia MEDICAID 000731343B

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