Individual
LORA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
758 S 1ST ST, CENTER ONE, LOUISVILLE, KY 40202-2023
(502) 589-8959
(502) 589-8949
Mailing address
758 S 1ST ST, CENTER ONE, LOUISVILLE, KY 40202-2023
(502) 589-8959
(502) 589-8949
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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