Pender, Lorie A
Pender, Lorie A is an individual health care provider with primary practice located at 5777 W Maple Rd , West Bloomfield MI 48322-2267. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Pender, Lorie A can be contacted via phone (248) 932-9223.Contact Information
Primary practice address
5777 W Maple Rd
West Bloomfield MI 48322-2267
Phone: (248) 932-9223
Fax: (248) 932-8641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Lactation Consultant | 163WL0100X | L-313608 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 4704233617 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 4704233617 | Michigan |
Profile Details
| NPI number | 1619043692 |
|---|---|
| LBN Legal business name | Pender, Lorie A |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jan 11th, 2024 - about last year |
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 | 1619043692 | NPPES |
| Other | 000000494119 | ANTHEM BCBS | |
| MEDICAID | 200843290 | ANTHEM BCBS |
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