Sanders, Lora D
Sanders, Lora D is an sole proprietor health care provider with primary practice located at 2920 S Mcintire Dr Ste 150A , Bloomington IN 47403-4221. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sanders, Lora D can be contacted via phone (765) 349-6793.Contact Information
Primary practice address
2920 S Mcintire Dr Ste 150A
Bloomington IN 47403-4221
Phone: (765) 349-6793
Fax: (765) 349-6949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 71013418A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71013418A | Indiana |
Profile Details
| NPI number | 1043917644 |
|---|---|
| LBN Legal business name | Sanders, Lora D |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2023 |
| Last updated | Oct 22nd, 2023 - about last year |
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 | 1043917644 | NPPES |
| Indiana | Other | 264430G94 | MEDICARE |
| Indiana | MEDICAID | 300072125 | MEDICARE |
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