Individual
SUSAN S LORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
1800 NORTHSIDE FORSYTH DR, SUITE 350, CUMMING, GA 30041-8416
(770) 205-6501
(404) 303-1325
Mailing address
1800 NORTHSIDE FORSYTH DR, SUITE 350, CUMMING, GA 30041-8416
(770) 205-6501
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN134164
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000731343B
—
GA
Enumeration date
05/12/2006
Last updated
01/20/2017
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