Thaxton, Lora Lee
Thaxton, Lora Lee is an individual health care provider with primary practice located at 1451 El Camino Real , The Villages FL 32159. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Thaxton, Lora Lee can be contacted via phone (352) 751-8506.Contact Information
Primary practice address
1451 El Camino Real
The Villages FL 32159
Phone: (352) 751-8506
Fax: (352) 751-8516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME139140 | Florida |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 35071671T | Ohio |
Profile Details
| NPI number | 1356346514 |
|---|---|
| LBN Legal business name | Thaxton, Lora Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Mar 13th, 2019 - about 6 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 | 1356346514 | NPPES |
| Ohio | MEDICAID | 2254715 |
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