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Individual

LORI BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
6102 82ND ST STE 10, LUBBOCK, TX 79424-0802
(806) 993-3333
Mailing address
3100 PREMIER DR STE 234, IRVING, TX 75063-2693

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-18-74616
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-18-74616
BACB
TX
Enumeration date
01/28/2019
Last updated
01/28/2019
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