Provider Demographics
NPI:1649423906
Name:HARTSOCK, LORNE BENJAMIN (PA-C)
Entity type:Individual
Prefix:MR
First Name:LORNE
Middle Name:BENJAMIN
Last Name:HARTSOCK
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 N LOUISIANA AVE STE D3&D4
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3600
Mailing Address - Country:US
Mailing Address - Phone:828-412-3688
Mailing Address - Fax:828-412-3689
Practice Address - Street 1:370 N LOUISIANA AVE STE D3&D4
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3600
Practice Address - Country:US
Practice Address - Phone:828-412-3688
Practice Address - Fax:828-412-3689
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001009947363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant