Healthcare Provider Details

I. General information

NPI: 1770880916
Provider Name (Legal Business Name): LORA BETH MINSON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORA BETH LOWRY ARNP

II. Dates (important events)

Enumeration Date: 02/24/2011
Last Update Date: 10/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 DUNCAN REGIONAL LOOP
DUNCAN OK
73533-1564
US

IV. Provider business mailing address

1310 N HARVILLE RD
DUNCAN OK
73533-1514
US

V. Phone/Fax

Practice location:
  • Phone: 580-251-6656
  • Fax: 580-251-6668
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number86125
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: