Organization
SIEMER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI RUSSELL-SIEMER (LCSW)
(817) 706-1728
Entity
Organization
Contact information
Practice address
1703 PEYCO DR N STE L, ARLINGTON, TX 76001-6701
(817) 706-1728
Mailing address
1930 SANTA ANNA DR, ARLINGTON, TX 76001-5611
(817) 706-1728
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609349489
LORI RUSSELL-SIEMER
TX
Enumeration date
02/07/2019
Last updated
02/07/2019
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