| NPI | 1720260508 |
|---|---|
| Former Name | LORA LEE TUBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-77680-061) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6151) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 17614) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2023-11-20 |