Individual
LORRAINE D HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3478 LAKESIDE DR NE UNIT 1004, ATLANTA, GA 30326-1859
(404) 662-8902
Mailing address
1144 E STAFFORD ST, PHILADELPHIA, PA 19138-1831
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021532
PA
Other
Enumeration date
06/11/2020
Last updated
02/04/2026
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