# SHAMAL LORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275332918
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 0001290486 | VA | — |
| 363L00000X | Nurse Practitioner | 1200930 | TX | — |
| 363LA2100X | Acute Care Nurse Practitioner | 0001290486 | TX | Yes |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | 1200930 | TX | — |

## Other

- **Enumeration date:** 03/12/2025
- **Last updated:** 06/05/2025