Individual
LORRAINE CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
(817) 702-8445
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N2029
TX
2086S0129X
Vascular Surgery Physician
Primary
N2029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030705580001
—
PA
Enumeration date
07/05/2009
Last updated
05/07/2019
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