Renedo, Lora

Renedo, Lora is an individual health care provider with primary practice located at 316 Calhoun St , Charleston SC 29401-1113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Renedo, Lora can be contacted via phone (843) 402-1000.

Contact Information

Primary practice address
316 Calhoun St Charleston SC 29401-1113
Phone: (843) 402-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 00062981 South Carolina

Profile Details

NPI number 1801944434
LBN Legal business name Renedo, Lora
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Feb 19th, 2009 - about 17 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 1801944434 NPPES
South Carolina MEDICAID GP3299
South Carolina MEDICAID NP0616

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