Provider Demographics
NPI:1760766083
Name:WINTER, LORA JEAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LORA
Middle Name:JEAN
Last Name:WINTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 DIVISION AVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-1009
Mailing Address - Country:US
Mailing Address - Phone:402-362-3353
Mailing Address - Fax:402-362-3248
Practice Address - Street 1:2119 DIVISION AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-1009
Practice Address - Country:US
Practice Address - Phone:402-362-3353
Practice Address - Fax:402-362-3248
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE69711163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse