Roberts, Lora K
Roberts, Lora K is an individual health care provider with primary practice located at 730 N College Rd Suite A, Twin Falls ID 83301-3382. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roberts, Lora K can be contacted via phone (208) 814-7300.Contact Information
Primary practice address
730 N College Rd Suite A
Twin Falls ID 83301-3382
Phone: (208) 814-7300
Fax: (208) 933-4601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP354 | Idaho |
Profile Details
| NPI number | 1134163397 |
|---|---|
| LBN Legal business name | Roberts, Lora K |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Sep 6th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134163397 | NPPES |
| Idaho | MEDICAID | 804260400 | |
| Idaho | Other | P00029392 |
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