Renedo, Lora
Renedo, Lora is an individual health care provider with primary practice located at 316 Calhoun St , Charleston SC 29401-1113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Renedo, Lora can be contacted via phone (843) 402-1000.Contact Information
Primary practice address
316 Calhoun St
Charleston SC 29401-1113
Phone: (843) 402-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 00062981 | South Carolina |
Profile Details
| NPI number | 1801944434 |
|---|---|
| LBN Legal business name | Renedo, Lora |
| Credentials | NNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Feb 19th, 2009 - about 16 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 | 1801944434 | NPPES |
| South Carolina | MEDICAID | GP3299 | |
| South Carolina | MEDICAID | NP0616 |
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