Loretz, Lillian Machelle
Loretz, Lillian Machelle is an sole proprietor health care provider with primary practice located at 6709 Waters Ave , Savannah GA 31406-2717. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Loretz, Lillian Machelle can be contacted via phone (912) 777-3164.Contact Information
Primary practice address
6709 Waters Ave
Savannah GA 31406-2717
Phone: (912) 777-3164
Fax: (912) 777-3165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD000860 | Georgia |
Profile Details
| NPI number | 1356376743 |
|---|---|
| LBN Legal business name | Loretz, Lillian Machelle |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Mar 3rd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356376743 | NPPES |
| Georgia | MEDICAID | 000817242C |
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