Individual
MRS. LORA ANN BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
121057
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200310010A
—
KS
05
—
427184205
—
MS
Enumeration date
05/04/2006
Last updated
08/15/2018
Update your record
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