Individual provider Active NPI

Iaong Lor, NP

  • Family Nurse Practitioner
  • Coweta, OK
National Provider Identifier
1548097173
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224002 Issued in OK
Practice address
607 S Broadway
Coweta, OK 74429-5000
Phone
(918) 486-5564
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 224002 OK Primary

Addresses

Primary practice location

607 S Broadway
Coweta, OK 74429-5000

Mailing address

607 S Broadway
Coweta, OK 74429-5000
Phone (918) 486-5564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908002317 OK Practitioner - Nurse Practitioner 1254833270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Verdigris Valley Health Centers, Inc.Group PAC ID 2961594916, 12 clinicians

Practice addresses (Care Compare)

607 S Broadway
Coweta, OK 74429-5000
Phone (918) 486-5564

Hospital & facility affiliations

  • Wagoner Community Hospital Hospital, Wagoner, OK, CCN 370166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Verdigris Valley Health Centers, Inc. CurrentSince Aug 15, 2025 Accepting new patients
Arkansas Verdigris Valley Health Centers, Inc. CurrentSince Aug 15, 2025 Accepting new patients

Locations

607 S Broadway
Coweta, OK 74429
Phone (918) 279-6675

505 S Main St
Tullahassee, OK 74454
Phone (918) 483-0111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13866/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1548097173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S BROADWAY",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744295000",
            "telephone_number": "918-486-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S BROADWAY",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744295000",
            "telephone_number": "918-486-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOR",
        "first_name": "IAONG",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "224002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coweta, OK

Sources for this page

Verify at the official NPI Registry.