Individual
LORENE PERKINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4554
(614) 722-4565
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4554
(614) 722-4565
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP1494
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167167000
—
WV
05
—
2061576
—
OH
05
—
78149408
—
KY
Enumeration date
10/21/2005
Last updated
07/08/2007
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