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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235110263 NPPES
Georgia MEDICAID 205983747A

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