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Individual
LORI SCHOMBERG
Active
Individual
LORI SCHOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05074
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA05074
LICENSE
TX
Enumeration date
12/19/2006
Last updated
12/09/2008
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