Lee, Lori A.

Lee, Lori A. is an individual health care provider with primary practice located at 1520 Grays Hwy , Ridgeland SC 29936-5440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lee, Lori A. can be contacted via phone (843) 726-3979.

Contact Information

Primary practice address
1520 Grays Hwy Ridgeland SC 29936-5440
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18996 South Carolina

Profile Details

NPI number 1417355108
LBN Legal business name Lee, Lori A.
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2014
Last updated Mar 11th, 2020 - about 5 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 1417355108 NPPES
South Carolina MEDICAID NP3060

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