Provider Demographics
NPI:1063638864
Name:THORNBURG, LORA BETH (PHARMD)
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:BETH
Last Name:THORNBURG
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:LORA
Other - Middle Name:BETH
Other - Last Name:LAFFERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14271 W 156TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3887
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14271 W 156TH TER
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3887
Practice Address - Country:US
Practice Address - Phone:913-393-5460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist