Individual
LORI LEANN LLERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
750 8TH AVE STE 200, FORT WORTH, TX 76104-2500
(682) 885-2170
(817) 335-8277
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
571291
TX
Other
Enumeration date
05/21/2008
Last updated
10/02/2024
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