MEDICARE: MRS. LORENA ANN NORTON

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	1744P3200X	Prosthetics Case Management	4396	WY

General Provider Information

NPI Number	:	1679799860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORENA ANN NORTON

Provider Business Mailing Address
First Line	:	312 CEDAR ST
Second Line	:
City	:	EVANSTON
State	:	WY
Zip	:	82930-2637
Country	:	US
Telephone Number	:	307-789-5340
Fax Number	:

Provider Business Practice Location Address
First Line	:	312 CEDAR ST
Second Line	:
City	:	EVANSTON
State	:	WY
Zip	:	82930-2637
Country	:	US
Telephone Number	:	307-789-5340
Fax Number	:

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	07/08/2007

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