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Individual
MRS. LORI ANNE BILODEAU
Active
Individual
MRS. LORI ANNE BILODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1147340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133991100
FIRSTCARE
TX
05
—
220016401
—
TX
05
—
220016402
—
TX
01
—
8T6019
BLUE CROSS BLUE SHIELD
TX
01
—
P00364357
MEDICARE RAILROAD
TX
Enumeration date
10/10/2005
Last updated
02/28/2020
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