MRS. Lora Ewanko

NPI #1134999519 in Payson, Arizona

Provider Information

NPI Number
1134999519
Entity Type
Individual
Name
MRS. Lora Ewanko
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Jan 5, 2024
Last Updated
Jan 5, 2024

Practice Location

Address
300 N BEELINE HWY
City
Payson
State
Arizona
ZIP Code
85541-4305
Phone
(928) 472-2826

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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