Provider Demographics
NPI:1588205447
Name:ROSENBERGER, LORA F (LPN)
Entity Type:Individual
Prefix:
First Name:LORA
Middle Name:F
Last Name:ROSENBERGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:LORA
Other - Middle Name:F
Other - Last Name:WOLFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-0188
Mailing Address - Country:US
Mailing Address - Phone:740-773-4366
Mailing Address - Fax:740-775-7855
Practice Address - Street 1:502 MCCARTY LN STE 5
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-7025
Practice Address - Country:US
Practice Address - Phone:740-286-5245
Practice Address - Fax:740-286-7642
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.123829.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse