LORA A FULLER

PEOSTA, IA
NPI1649654096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: IA  006722)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: IA  P48266)
Enumeration Date2015-07-16
Last Update Date2015-07-16
Business Address
Ms. LORA A FULLER LPN, LMT
15358 BRIARWOOD DR
PEOSTA, IA 52068-9755
Phone number: 563-599-6536
Mailing Address
Ms. LORA A FULLER LPN, LMT
15358 BRIARWOOD DR
PEOSTA, IA 52068-9755
Phone number: 563-599-6536