Provider Demographics
NPI:1831341932
Name:BROWN, LORA CATHRYN (BS)
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:CATHRYN
Last Name:BROWN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:LORA
Other - Middle Name:CATHRYN
Other - Last Name:BORING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:DEPT 888182
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37995-0001
Mailing Address - Country:US
Mailing Address - Phone:800-355-3565
Mailing Address - Fax:423-714-2355
Practice Address - Street 1:119 PEDIGO RD
Practice Address - Street 2:STE F
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354-4438
Practice Address - Country:US
Practice Address - Phone:423-442-5280
Practice Address - Fax:423-442-8127
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator