Individual
MRS. LORA N. MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
RR 2, BOX 4D, HWY 45 S, MARION, AL 36756
(334) 683-9085
(334) 683-9082
Mailing address
704 BLUEBERRY HILL RD, PRATTVILLE, AL 36067-7836
(334) 361-3187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-049124
AL
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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