Provider Demographics
NPI:1285287326
Name:DORA, ALLISON SARA (LPN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:SARA
Last Name:DORA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:FERLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:415 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-1307
Mailing Address - Country:US
Mailing Address - Phone:724-893-6024
Mailing Address - Fax:
Practice Address - Street 1:415 GRANT ST
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-1307
Practice Address - Country:US
Practice Address - Phone:724-893-6024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN301977164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse