LORA OVERTON

FORT WAYNE, IN
NPI1255332664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IN  02001611A)
Enumeration Date2005-08-09
Last Update Date2012-09-18
Business Address
-- LORA OVERTON DO
3217 LAKE AVE
FORT WAYNE, IN 46805-5427
Phone number: 260-490-1524
Mailing Address
-- LORA OVERTON DO
2001 N GRANVILLE AVE
MUNCIE, IN 47303-2110
Phone number: 765-213-3238