Individual
DR. LORI LEE CORREIA SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11965 PELLICANO DR, EL PASO, TX 79936-6829
(915) 855-2337
Mailing address
1061 MARINASIDE CRESCENT, VANCOUVER, BC V6Z3A-5
(604) 709-0039
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017554
—
NM
01
—
1381372
UNITED CONCORDIA
TX
05
—
150189201
—
TX
Enumeration date
10/05/2006
Last updated
07/28/2009
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