Individual
LORI A. CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 E LAMAR BLVD, STE 400, ARLINGTON, TX 76006-7346
(817) 861-3994
(682) 227-6869
Mailing address
2000 E LAMAR BLVD., STE 400, ARLINGTON, TX 76006-7353
(817) 861-3994
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
248515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177537101
—
TX
Enumeration date
05/17/2006
Last updated
01/13/2014
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