Individual
MISS LORENA A. CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1505 NORTHSIDE BLVD STE 4600, CUMMING, GA 30041-7658
(770) 205-5292
(404) 205-5291
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(404) 256-4777
(404) 256-5515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7131
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176164D
—
GA
05
—
003176164E
—
GA
01
—
G15813B
MEDICARE PTAN
GA
Enumeration date
02/05/2015
Last updated
07/19/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us