Middleton, Lorena

Middleton, Lorena is an individual health care provider with primary practice located at 103 Saluda Ridge Ct , West Columbia SC 29169-3455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Middleton, Lorena can be contacted via phone (803) 794-3320.

Contact Information

Primary practice address
103 Saluda Ridge Ct West Columbia SC 29169-3455
Fax: (803) 794-3157
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19734 South Carolina

Profile Details

NPI number 1891164216
LBN Legal business name Middleton, Lorena
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2015
Last updated Aug 23rd, 2019 - about 6 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 1891164216 NPPES
South Carolina MEDICAID NP3448

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