Individual
LORA ELIZABETH MAURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
624 WHITEHALL RD, CHATTANOOGA, TN 37405-3750
(423) 314-3892
Mailing address
624 WHITEHALL RD, CHATTANOOGA, TN 37405-3750
(423) 314-3892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
132852
TN
163WG0000X
General Practice Registered Nurse
132852
TN
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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