Pender, Lorie A

Pender, Lorie A is an individual health care provider with primary practice located at 5777 W Maple Rd , West Bloomfield MI 48322-2267. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Pender, Lorie A can be contacted via phone (248) 932-9223.

Contact Information

Primary practice address
5777 W Maple Rd West Bloomfield MI 48322-2267
Phone: (248) 932-9223
Fax: (248) 932-8641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X L-313608 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 4704233617 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704233617 Michigan

Profile Details

NPI number 1619043692
LBN Legal business name Pender, Lorie A
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jan 11th, 2024 - about 8 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 1619043692 NPPES
Other 000000494119 ANTHEM BCBS
MEDICAID 200843290 ANTHEM BCBS

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