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Individual

LORNA A TURNAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
203 E 3RD ST, PORTAGEVILLE, MO 63873-1401
(573) 379-2100
(573) 379-2101
Mailing address
203 E 3RD ST, PORTAGEVILLE, MO 63873-1401
(573) 379-2100
(573) 379-2101

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QR1300X
Rural Health Clinic/Center
Primary
363L00000X
Nurse Practitioner
112386
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
189064
BCBS
MO
05
424665644
MO
01
820614210
MEDICARE ID
MO
Enumeration date
07/29/2005
Last updated
03/03/2009
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