Altadonna, Lorien T
Altadonna, Lorien T is an individual health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Altadonna, Lorien T can be contacted via phone (770) 836-9672.Contact Information
Primary practice address
705 Dixie St
Carrollton GA 30117-3818
Phone: (770) 836-9672
Fax: (770) 838-8827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD.28629 | Georgia |
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | MD.28629 | Georgia |
Profile Details
| NPI number | 1013198142 |
|---|---|
| LBN Legal business name | Altadonna, Lorien T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Sep 30th, 2021 - about 4 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 | 1013198142 | NPPES |
| Georgia | Other | 2021221829 | MEDICARE |
| Georgia | MEDICAID | 218387735A | MEDICARE |
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