Provider Demographics
NPI:1851637326
Name:HARVEY, LORA FRANCIS (LPN)
Entity Type:Individual
Prefix:
First Name:LORA
Middle Name:FRANCIS
Last Name:HARVEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5582 CLOVERDALE DR
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:OH
Mailing Address - Zip Code:43021-9552
Mailing Address - Country:US
Mailing Address - Phone:614-906-0817
Mailing Address - Fax:
Practice Address - Street 1:5582 CLOVERDALE DR
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:OH
Practice Address - Zip Code:43021-9552
Practice Address - Country:US
Practice Address - Phone:614-906-0817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH157419374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician