Individual
LORI K UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 SAINT LUKE ST, SALADO, TX 76571-2112
(512) 663-9136
Mailing address
3110 SAINT LUKE ST, SALADO, TX 76571-2112
(512) 663-9136
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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