Provider Demographics
NPI:1780238105
Name:HUNTER, LORA FAULK
Entity type:Individual
Prefix:MRS
First Name:LORA
Middle Name:FAULK
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6425 OKELLY DR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23437-8978
Mailing Address - Country:US
Mailing Address - Phone:757-609-5765
Mailing Address - Fax:
Practice Address - Street 1:6425 OKELLY DR
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23437-8978
Practice Address - Country:US
Practice Address - Phone:757-609-5765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)