Individual
LORA C. DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 350-7171
(912) 350-3454
Mailing address
1101 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 350-7171
(912) 350-3454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033818
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000511618J
—
GA
01
—
10064375
AMERIGROUP
GA
01
—
110214367
RR MEDICARE
GA
01
—
349749
WELLCARE
GA
05
—
G33818
—
SC
Enumeration date
07/24/2006
Last updated
02/11/2022
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