Mutiso, Lora

Mutiso, Lora is an individual health care provider with primary practice located at 1306 Versailles Rd Suite 120, Lexington KY 40504-1796. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mutiso, Lora can be contacted via phone (859) 259-2635.

Contact Information

Primary practice address
1306 Versailles Rd Suite 120 Lexington KY 40504-1796
Phone: (859) 259-2635
Fax: (859) 254-7874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4380P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3004380 Kentucky

Profile Details

NPI number 1689795536
LBN Legal business name Mutiso, Lora
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Apr 23rd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689795536 NPPES
Kentucky MEDICAID 7100384290

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