| Doctor Name: | LORA LONGINO ELSTON |
| NPI Number: | 1063844785 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, IBCLC |
| License Number: | RN212071 |
| Business Practice Address: | 378 Black Springs Rd Ne Milledgeville, GA - 310619005 |
| Business Phone Number: | 4782348012 |
| Business Fax Number: | |
| Mailing Address: | 378 Black Springs Rd Ne, MILLEDGEVILLE |
| State: | GA |
| Postal Code: | 310619005 |
| Phone Number: | 4782348012 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2013 |
| NPI Last Update Date: | 08/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | RN212071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |