NPI 1053568915

Michele Lore, PAC

Practitioner Physician Assistant Newnan, GA

Practice location

Address: 701 Newnan Crossing Bypass, Newnan, GA 30263
Phone: (770) 251-5111
Mailing address: 7300 Ranch Road 2222, Building 1, STE 200, Austin, TX 78730

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 012707 (NY)

Other Physician Assistant providers in Georgia →

Registry record

NPI: 1053568915
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2008
Record last updated: 31 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.