Hawkins, Lori Denell

Hawkins, Lori Denell is an individual health care provider with primary practice located at 1191 Fortune Blvd Ste 2 , Shiloh IL 62269-7474. 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. Hawkins, Lori Denell can be contacted via phone (618) 607-0061.

Contact Information

Primary practice address
1191 Fortune Blvd Ste 2 Shiloh IL 62269-7474
Phone: (618) 607-0061
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2023038671 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209024612 Illinois

Profile Details

NPI number 1760267736
LBN Legal business name Hawkins, Lori Denell
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2023
Last updated Apr 4th, 2024 - about 7 months 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 1760267736 NPPES
Illinois MEDICAID 1760267736

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