Doctor Name: | DR. ROSANNA LORA |
NPI Number: | 1043358997 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 017730 |
Business Practice Address: | 1906 S Main St Suite 120 Wake Forest, NC - 275875032 |
Business Phone Number: | 9195621080 |
Business Fax Number: | 9195703243 |
Mailing Address: | 3009 Royal Forrest Dr, RALEIGH |
State: | NC |
Postal Code: | 276147646 |
Phone Number: | 5513339664 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 017730 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |