Lora Mutiso
APRN | Nurse Practitioner | 21+ years Exp
1306 Versailles Rd, Suite 120, Lexington
Kentucky, 40504-1796
859-259-2635
Lora Mutiso is a Lexington, Kentucky based nurse practitioner with 21 years of experience in . She completed her graduation in 2004. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lora Mutiso is 3004380 for Psych/Mental Health in Kentucky. Her current practice location is 1306 Versailles Rd, Suite 120, Lexington. Patients can reach her at 859-259-2635 or can fax her at 859-254-7874. Lora Mutiso is APRN and her NPI number (Unique professional ID assigned by NPPES) is 1689795536.
Lora Mutiso has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lora Mutiso speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lora Mutiso |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | APRN |
| Experience: | 21+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2004 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1306 Versailles Rd, Suite 120, Lexington,
Kentucky, 40504-1796 |
| Phone: | 859-259-2635 |
| Fax: | 859-254-7874 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0840593588 |
| Enrollment ID: | I20160129000842 |
| NPI Number: | 1689795536 |
| NPI Enumeration Date: | 02 Apr, 2007 |
| NPI Last Update On: | 23 Apr, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lora Mutiso are as mentioned below.
| License Number | Specialization | State | Status | |
| 3004380 | Psych/Mental Health | Kentucky | Primary | |
| 4380P | Nurse Practitioner | Kentucky | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lora Mutiso is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Bluegrass Primary Health Care Center, Inc. (7810326915) | 12 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Lora Mutiso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7100384290 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lora Mutiso
1306 Versailles Rd, Suite 120
Lexington, Kentucky |
| Zip: | 40504-1796 |
| Phone Number: | 859-259-2635 |
| Fax Number: | 859-254-7874 |
Patients can reach Lora Mutiso at
1306 Versailles Rd, Suite 120, Lexington, Kentucky or can
call to book an appointment on 859-259-2635.
Comments/ Reviews:
Patients can read all the reviews posted for Lora Mutiso below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Lora Mutiso. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.