Individual
LORA MAY VAVERKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
330 S 5TH ST STE 500, ENID, OK 73701-5825
(580) 249-5504
(580) 234-5933
Mailing address
11100 HEFNER POINTE DR STE A, OKLAHOMA CITY, OK 73120-5049
(405) 752-0871
(405) 755-9510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0051279
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114140A
—
OK
Enumeration date
08/03/2006
Last updated
03/27/2024
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