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NPI Code Detail

MEDICARE: LORA DRENNER

MEDICARE: LORA DRENNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1144814898
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORA DRENNER
Provider Business Mailing Address
First Line : 99 LONESOME RD
Second Line :
City : CHARLESTON
State : WV
Zip : 25320-6028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 99 LONESOME RD
Second Line :
City : CHARLESTON
State : WV
Zip : 25320-6028
Country : US
Telephone Number : 304-444-6586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2021
Last Update Date : 02/23/2021

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Directions to “ LORA DRENNER ” Practice Location

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