Landrum Elder, Lorie E

Landrum Elder, Lorie E is an individual health care provider with primary practice located at 1230 Baxter St , Athens GA 30606-3712. 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. Landrum Elder, Lorie E can be contacted via phone (706) 543-3449.

Contact Information

Primary practice address
1230 Baxter St Athens GA 30606-3712
Phone: (706) 543-3449
Fax: (706) 543-5744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN139766 Georgia

Profile Details

NPI number 1558308486
LBN Legal business name Landrum Elder, Lorie E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated May 19th, 2008 - 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 1558308486 NPPES
Georgia MEDICAID 000933974A

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