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Individual
MS. LORI L GRANT
Active
Individual
MS. LORI L GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C, RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT04039
TX
163W00000X
Registered Nurse
904537
TX
363LF0000X
Family Nurse Practitioner
Primary
AP142181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134806203
—
TX
Enumeration date
10/19/2006
Last updated
08/30/2024
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