Individual
MRS. LORA JEAN DENSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 PRESTON DRIVE, KINGWOOD, WV 26537
(304) 624-6554
(304) 624-5223
Mailing address
1201 N 15TH ST, CLARKSBURG, WV 26301-1989
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
71218
WV
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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