Individual
LORA K ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
730 N COLLEGE RD, SUITE A, TWIN FALLS, ID 83301-3382
(208) 814-7300
(208) 933-4601
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP354
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804260400
—
ID
01
—
P00029392
MCRR
ID
Enumeration date
06/16/2006
Last updated
09/06/2012
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