Lorenzo-Rivero, Shauna

Lorenzo-Rivero, Shauna is an individual health care provider with primary practice located at 613 23Rd St Ste 430 , Ashland KY 41101-2885. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Lorenzo-Rivero, Shauna can be contacted via phone (606) 408-8200.

Contact Information

Primary practice address
613 23Rd St Ste 430 Ashland KY 41101-2885
Phone: (606) 408-8200
Fax: (606) 408-6291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD43226 Tennessee
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 57522 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 57522 Kentucky
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 43226 Tennessee
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 35.146884 Ohio

Profile Details

NPI number 1336169804
LBN Legal business name Lorenzo-Rivero, Shauna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 27th, 2023 - about last year

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 1336169804 NPPES
Alabama MEDICAID 101313
Alabama Other 5829223
Alabama MEDICAID 259908999A
Alabama MEDICAID 1507110
Alabama Other P00643432
Alabama Other 4187700

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