Black, Lorenzo Sentell

Black, Lorenzo Sentell is an individual health care provider with primary practice located at 300 W Front St , Liberty SC 29657-1012. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Black, Lorenzo Sentell can be contacted via phone (864) 843-5605.

Contact Information

Primary practice address
300 W Front St Liberty SC 29657-1012
Phone: (864) 843-5605
Fax: (864) 843-0996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 228658 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 24339 South Carolina

Profile Details

NPI number 1548886062
LBN Legal business name Black, Lorenzo Sentell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2020
Last updated Mar 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548886062 NPPES
South Carolina MEDICAID NP7292

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