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Individual
MS. LORI DAWN KELLER
Active
Individual
MS. LORI DAWN KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1141019
TX
363LF0000X
Family Nurse Practitioner
Primary
1141019
TX
363LP2300X
Primary Care Nurse Practitioner
1141019
TX
Other
Enumeration date
11/06/2023
Last updated
12/01/2023
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