Dore, Lynnette
Dore, Lynnette is an individual health care provider with primary practice located at 1103 Kaliste Saloom Rd Suite 304, Lafayette LA 70508-5783. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Dore, Lynnette can be contacted via phone (337) 988-5646.Contact Information
Primary practice address
1103 Kaliste Saloom Rd Suite 304
Lafayette LA 70508-5783
Phone: (337) 988-5646
Fax: (337) 988-4298
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP02863 | Louisiana |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 2863 | Louisiana |
Profile Details
NPI number | 1194700435 |
---|---|
LBN Legal business name | Dore, Lynnette |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 9th, 2005 |
Last updated | Aug 12th, 2014 - about 10 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 | 1194700435 | NPPES |
Louisiana | MEDICAID | 1695459 |
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