Lora Overacre, CRNA
Nurse Anesthetist, Certified Registered in Greenville, SC. Individual provider (NPI-1).
NPI number1083045207
StatusActive
Last updated in NPPESJan 8, 2019
Details
- NPI
- 1083045207
- Entity type
- Individual (NPI-1)
- Name
- Lora Overacre
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2013
- Last updated
- Jan 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 18655 | SC | Yes |
Practice location
701 Grove RoadGreenville, SC 29605-5611
Phone 864-455-7000
Mailing address
1 Independence Pt Ste 212Greenville, SC 29615-4536
Phone 864-797-6174
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