Sorensen, Dianna

Sorensen, Dianna is an sole proprietor health care provider with primary practice located at 715 Shaker Dr Ste 113 , Lexington KY 40504-3674. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Sorensen, Dianna can be contacted via phone (859) 276-2573.

Contact Information

Primary practice address
715 Shaker Dr Ste 113 Lexington KY 40504-3674
Fax: (859) 276-2574
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 110067 Kentucky

Profile Details

NPI number 1225619851
LBN Legal business name Sorensen, Dianna
Credentials L.D.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2021
Last updated Apr 15th, 2021 - about 3 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 1225619851 NPPES
Kentucky MEDICAID 1003908849

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