Fuller, Lori

Fuller, Lori is an individual health care provider with primary practice located at 204 Allen Memorial Dr Ste 201 , Bremen GA 30110-2062. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fuller, Lori can be contacted via phone (770) 537-6500.

Contact Information

Primary practice address
204 Allen Memorial Dr Ste 201 Bremen GA 30110-2062
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN210559 Georgia

Profile Details

NPI number 1730841743
LBN Legal business name Fuller, Lori
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2021
Last updated Oct 6th, 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.

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