Individual
LORA WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
2120 PAYNE ST, LOUISVILLE, KY 40206-2012
(502) 895-9425
Mailing address
1509 COLONIAL CT, GOSHEN, KY 40026-9567
(502) 759-6532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2708P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000178845
ANTHEM
KS
05
—
78027083
—
KY
Enumeration date
06/27/2005
Last updated
08/14/2018
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