Individual
LORA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
814 OLD EKRON RD, BRANDENBURG, KY 40108-1149
(731) 394-1145
Mailing address
3229 OLD STATE RD, BRANDENBURG, KY 40108-9460
(270) 668-5431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015992
KY
Other
Enumeration date
02/24/2021
Last updated
06/18/2021
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