Provider Demographics
NPI:1518968296
Name:LORNA TURNAGE
Entity Type:Organization
Organization Name:LORNA TURNAGE
Other - Org Name:A PLUS FAMILY CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:FNP OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:TURNAGE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:573-379-2100
Mailing Address - Street 1:203 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PORTAGEVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63873-1401
Mailing Address - Country:US
Mailing Address - Phone:573-379-2100
Mailing Address - Fax:573-379-2101
Practice Address - Street 1:203 E 3RD ST
Practice Address - Street 2:
Practice Address - City:PORTAGEVILLE
Practice Address - State:MO
Practice Address - Zip Code:63873-1401
Practice Address - Country:US
Practice Address - Phone:573-379-2100
Practice Address - Fax:573-379-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO207Q00000X
261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO599380607Medicaid
MO189065OtherBCBS
MO189065OtherBCBS