Lori Kaye Shaw LVN

NPI 1184826463 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1184826463
Gender Female
Enumeration Date 05/31/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2802 VANZANDT CO.RD.
#2685HOUSE NO.
MABANK TX, 75147-2685, US
Phone (903) 887-9773
Fax (903) 887-1445
Business Location
PO BOX 64
MABANK TX, 75147-0064, US
Phone (903) 887-9773
Fax (903) 887-1445
Toxanomy
Taxonomy Code 164X00000X
License State Texas
License Number 128408
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According to our database, Mrs. Lori Kaye Shaw LVN NPI is 1184826463, taxonomy code is 164X00000X and license number is 128408, license state is located at Texas. Lori Kaye Shaw LVN physically located at 2802 Vanzandt Co.rd., Mabank TX, 75147-2685. NPI Number Lori Kaye Shaw LVN has the Individual type.

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1184826463 NPI number is provided on an as is basis without warranty of any kind. 1184826463 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Kaye Shaw LVN are for informational purposes only.