Individual
LORIE KIRSTEN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4085 OHIO DR STE 100, FRISCO, TX 75035-6245
(972) 406-9911
Mailing address
15480 DALLAS PKWY APT 2120, DALLAS, TX 75248-4688
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1069522
TX
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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