MS. Lora A Fuller, LPN, LMT

NPI #1649654096 in Peosta, Iowa

Provider Information

NPI Number
1649654096
Entity Type
Individual
Name
MS. Lora A Fuller, LPN, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LPN, LMT
Enumeration Date
Jul 16, 2015
Last Updated
Jul 16, 2015

Practice Location

Address
15358 BRIARWOOD DR
City
Peosta
State
Iowa
ZIP Code
52068-9755
Phone
(563) 599-6536

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse
Massage Therapist

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