Individual
LISA KAY LORACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A.
Contact information
Practice address
307 N PARK, OLDS, IA 52647
(319) 254-2414
Mailing address
307 N. PARK, OLDS, IA 52647
(319) 254-2414
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
116702
IA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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