Individual
MRS. TRACI KAYE LAWLER-SHORTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
609 MEDICAL CENTER DR, DECATUR, TX 76234-3836
(940) 627-5921
(940) 626-1351
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP121618
TX
363LA2100X
Acute Care Nurse Practitioner
630971
TX
Other
Enumeration date
06/16/2012
Last updated
06/12/2019
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