| NPI | 1073880605 |
|---|---|
| Former Name | LORA LYNNE PRIMEAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OK 16467) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN 31655) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |