Provider Demographics
NPI:1992286280
Name:PYLE, LORA (LVN)
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:
Last Name:PYLE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1173 COUNTY RD 174
Mailing Address - Street 2:
Mailing Address - City:SAN DEIGO
Mailing Address - State:TX
Mailing Address - Zip Code:78384
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1173 COUNTY RD 174
Practice Address - Street 2:
Practice Address - City:SAN DEIGO
Practice Address - State:TX
Practice Address - Zip Code:78384
Practice Address - Country:US
Practice Address - Phone:361-453-1822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224205164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse