Mrs. Lora Ewanko
Mrs. Lora Ewanko is an Optician in Payson, Arizona. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
300 N Beeline HwyPayson, AZ 85541-4305
Phone: (928) 472-2826
Fax: (928) 472-2815
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1134999519 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 5, 2024 |
| Last updated in NPPES | January 5, 2024 |
| Certification date | January 5, 2024 |
| Mailing address | 300 N Beeline Hwy, Payson, AZ 85541-4305 |
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