Gore Hirchak, Lyda Carol

Gore Hirchak, Lyda Carol is an individual health care provider with primary practice located at 3330 Masonic Dr , Alexandria LA 71301-3841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gore Hirchak, Lyda Carol can be contacted via phone (318) 487-1122.

Contact Information

Primary practice address
3330 Masonic Dr Alexandria LA 71301-3841
Phone: (318) 487-1122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP02336 Louisiana

Profile Details

NPI number 1174677744
LBN Legal business name Gore Hirchak, Lyda Carol
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - 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 1174677744 NPPES
Louisiana MEDICAID 1673536

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