Provider Demographics
NPI:1881910529
Name:NORA, LORA MARION (APN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:LORA
Middle Name:MARION
Last Name:NORA
Suffix:
Gender:F
Credentials:APN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 E TOWNLINE RD
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1555
Mailing Address - Country:US
Mailing Address - Phone:612-696-5510
Mailing Address - Fax:612-235-6823
Practice Address - Street 1:313 E TOWNLINE RD
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1555
Practice Address - Country:US
Practice Address - Phone:612-696-5510
Practice Address - Fax:612-235-6823
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041190124163WG0000X
IL209006727363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice