Provider Demographics
NPI:1437632585
Name:HART, LORA MARIE (CPM, LM)
Entity Type:Individual
Prefix:MS
First Name:LORA
Middle Name:MARIE
Last Name:HART
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 N. HIGH ST.
Mailing Address - Street 2:SUITE 410
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2635
Mailing Address - Country:US
Mailing Address - Phone:614-648-7735
Mailing Address - Fax:614-737-5777
Practice Address - Street 1:4400 N. HIGH ST.
Practice Address - Street 2:SUITE 410
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-2635
Practice Address - Country:US
Practice Address - Phone:614-648-7735
Practice Address - Fax:614-737-5777
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X, 174H00000X
WI534-49176B00000X
OH146D00000X, 172V00000X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator