Lori Ponder, CRNP

NPI #1235110263 in Rome, Georgia

Provider Information

NPI Number
1235110263
Entity Type
Individual
Name
Lori Ponder, CRNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
CRNP
Enumeration Date
Nov 8, 2005
Last Updated
Sep 6, 2011

Practice Location

Address
15 RIVERBEND DR SW
Address 2
STE 100
City
Rome
State
Georgia
ZIP Code
30161-6065
Phone
(706) 291-0884

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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