Individual
LORA YOTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 CHOCTAW ST, HACKETT, AR 72937-2904
(479) 806-4165
Mailing address
103 CHOCTAW ST, HACKETT, AR 72937-2904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R086825
AR
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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