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Individual
LORI SHAE HOPPER
Active
Individual
LORI SHAE HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
741838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283811201
—
TX
05
—
283811206
—
TX
01
—
8GS14
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P01908139
PALMATTO GBA MEDICARE RAILROAD
TX
Enumeration date
07/20/2011
Last updated
09/17/2020
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