Individual
MS. LOURA SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3204 E MOORE AVE, SEARCY, AR 72143-4826
(501) 268-7777
(501) 278-5506
Mailing address
3204 E MOORE AVE, SEARCY, AR 72143-4826
(501) 268-7777
(501) 278-5506
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L19843
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ITIN
—
AR
Enumeration date
09/15/2011
Last updated
09/15/2011
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