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Individual
SHAMAL LORD
Active
Individual
SHAMAL LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001290486
VA
363L00000X
Nurse Practitioner
1200930
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
0001290486
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
1200930
TX
Other
Enumeration date
03/12/2025
Last updated
06/05/2025
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