The A+ Leadership Team

Lori Ayala


Lori established A+ Total Care in May of 2014, holding the role of owner in coordinating clinic programs, overseeing strategic planning and management, and mentoring the A+ team. Lori has more than 20 years of experience in the medical industry. After graduating from Great Basin College in Elko, NV in 1997, she went to work for the Northeastern Nevada Regional Hospital for 17 years, serving the majority of the time as a nurse in their intensive care unit. Lori enjoys family get-togethers, traveling, scuba diving, photography, San Francisco Giants baseball games, hunting, camping, and fishing.

Megan Ayala


Megan Ayala, serves as A+ Total Care’s Administrator and was part of the founding team that helped establish our clinic back in 2014 under the A+ Urgent Care name. Megan graduated with a Master of Science in Accounting and manages the day-to-day business and financial operations at A+. Megan was born in Elko and raised in Spring Creek and is married with two young children. She enjoys spending time with her family, horseback riding, hunting, camping, and four-wheeling.

Alonya Wagner

Occupational Healthcare Director

Alonya grew up in Scottsdale, Arizona where she pursued medical assistant training while still in high school and graduated from both simultaneously in 2012. Over the next few years, she worked with doctors in a family clinic in Wyoming as well as with a number of medical specialists in Cardiology, Pediatrics, OB, and Occupational Medicine. Alonya lives in Elko, NV and has been with the clinic since it opened in 2014. Alonya also enjoys hiking, walking, and swimming in her free time.