Individual provider · NPI-1
Lora Elizabeth Maury, RN
Registered Nurse · Chattanooga, TN
NPI number1649860933
StatusActive
Last updated in NPPESJan 21, 2021
Details
- NPI
- 1649860933
- Entity type
- Individual (NPI-1)
- Name
- Lora Elizabeth Maury
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2021
- Certification date
- Jan 21, 2021
- Last updated
- Jan 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 132852 | TN | Yes |
| 163WG0000X | Registered Nurse, General Practice | 132852 | TN |
Practice location
624 Whitehall RdChattanooga, TN 37405-3750
Phone 423-314-3892
Mailing address
624 Whitehall RdChattanooga, TN 37405-3750
Phone 423-314-3892
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