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NPI Code Detail

MEDICARE: LORA CAROL IRWIN WHNP

MEDICARE: LORA CAROL IRWIN WHNP
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
1363LW0102XWomen's Health Nurse PractitionerAPN0000010423TN

General Provider Information

NPI Number : 1154306546
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORA CAROL IRWIN WHNP
Provider Business Mailing Address
First Line : 5241 N WILDWOOD RD
Second Line :
City : MARYVILLE
State : TN
Zip : 37804-4603
Country : US
Telephone Number : 865-681-1389
Fax Number :
Provider Business Practice Location Address
First Line : 140 DAMERON AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-6413
Country : US
Telephone Number : 865-215-5320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 07/08/2007

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Directions to “ LORA CAROL IRWIN WHNP” Practice Location

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