Individual
LORENA DOCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 N IRWIN AVE, OCILLA, GA 31774-5007
(229) 468-0646
Mailing address
PO BOX 512, DUBLIN, GA 31040-0512
(440) 554-4601
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
23410
WV
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
73221
GA
Other
Enumeration date
11/24/2008
Last updated
12/12/2025
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