Individual
LORA OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3217 LAKE AVE, FORT WAYNE, IN 46805-5427
(260) 490-1524
(765) 284-2434
Mailing address
2001 N GRANVILLE AVE, MUNCIE, IN 47303-2110
(765) 213-3238
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02001611A
IN
Other
Enumeration date
08/09/2005
Last updated
09/18/2012
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