Lora J Theiss, LPN
Licensed Practical Nurse in Smithfield, KY. Individual provider (NPI-1).
NPI number1023901436
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1023901436
- Entity type
- Individual (NPI-1)
- Name
- Lora J Theiss
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2025
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 2036502 | KY | Yes |
Practice location
5506 Main StSmithfield, KY 40068-1401
Phone 502-232-1982
Mailing address
5506 Main StSmithfield, KY 40068-1401
Phone 502-232-1982
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