National Provider Identifier Database

DR LORA OVERTON PC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

DR. LORA OVERTON PC
3217 LAKE AVE
FORT WAYNE, IN46805-5427
Phone: 260-490-1524
Fax:
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for DR. LORA OVERTON PC

NPI Number 1346584638
Legal business name
LBN
DR. LORA OVERTON PC
Authorized official LORA OVERTON - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 11/27/2012
Last updated 11/27/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 02001611

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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