Individual
LORRAINE TERRY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7900 FANNIN ST, HOUSTON, TX 77054-2934
(713) 512-7000
(713) 512-7561
Mailing address
7900 FANNIN ST, HOUSTON, TX 77054-2934
(713) 512-7000
(713) 512-7561
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
526887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044CG
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/13/2008
Last updated
02/13/2008
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