Individual
LORA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
786 POCA RD, LOONEYVILLE, WV 25259-9002
(304) 761-4489
Mailing address
786 POCA RD, LOONEYVILLE, WV 25259-9002
(304) 761-4489
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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