Lorri Ault, R.N.

Individual provider Active NPI Registered Nurse · Greenwood, SC

NPI 1104167105 · NPPES record last updated Mar 15, 2013

Key facts

NPI
1104167105
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
73319 (SC)
Practice address
1000 Emerald Rd
Greenwood, SC 29646-8833
Phone
(864) 941-5500
Fax
(864) 941-3426
NPI assigned
Mar 15, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
73319SCMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 73319 SC Yes

Addresses

Primary practice location

1000 Emerald Rd
Greenwood, SC 29646-8833

Mailing address

1000 Emerald Rd
Greenwood, SC 29646-8833
Phone (864) 941-5500

Other providers in Greenwood, SC

All providers in Greenwood, SC · Registered Nurse in South Carolina

Sources for this page

Verify at the official NPI Registry.