Individual
LORA L MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
33583 N BOWLES DR, SAN TAN VALLEY, AZ 85144-1366
(812) 584-1672
Mailing address
33583 N BOWLES DR, SAN TAN VALLEY, AZ 85144-1366
(812) 584-1672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
295123
AZ
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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