Ponder, Lori
Ponder, Lori is an individual health care provider with primary practice located at 15 Riverbend Dr Sw Ste 100, Rome GA 30161-6065. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ponder, Lori can be contacted via phone (706) 291-0884.Contact Information
Primary practice address
15 Riverbend Dr Sw Ste 100
Rome GA 30161-6065
Phone: (706) 291-0884
Fax: (706) 378-8267
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1-089350 | Alabama |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN147727 | Georgia |
Profile Details
NPI number | 1235110263 |
---|---|
LBN Legal business name | Ponder, Lori |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 8th, 2005 |
Last updated | Sep 6th, 2011 - about 13 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 | 1235110263 | NPPES |
Georgia | MEDICAID | 205983747A |
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