Provider Demographics
NPI:1992146401
Name:KERR, LORA ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:ANN
Last Name:KERR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LORA
Other - Middle Name:ANN
Other - Last Name:MCCRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1861 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4839
Mailing Address - Country:US
Mailing Address - Phone:386-290-0727
Mailing Address - Fax:
Practice Address - Street 1:4450 KAPOLEI PKWY
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1889
Practice Address - Country:US
Practice Address - Phone:808-457-3680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50591183500000X
HIPH-3577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist