MEDICARE: LORA WILHITE

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1396608311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORA WILHITE

Provider Business Mailing Address
First Line	:	8326 KELWOOD AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-4803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4308 S GRAND ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71202-6322
Country	:	US
Telephone Number	:	318-512-2934
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “ LORA WILHITE ” Practice Location

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