LORA J FORTENBERRY

INDIANAPOLIS, IN
NPI1194727735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71000856A)
Enumeration Date2005-08-12
Last Update Date2007-07-08
Business Address
-- LORA J FORTENBERRY NP
8925 N MERIDIAN ST 150
INDIANAPOLIS, IN 46260-2386
Phone number: 317-846-1846
Mailing Address
-- LORA J FORTENBERRY NP
PO BOX 4237
CARMEL, IN 46082-4237
Phone number: 317-218-2800