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Individual

LORI M LOOKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
551502
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134776203
TX
Enumeration date
02/20/2006
Last updated
01/25/2013
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