Individual
LORI COORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9600 N. CENTRAL EXPRESSWAY, SUITE 100, DALLAS, TX 75231-5078
(214) 692-6941
Mailing address
PO BOX 650037, DALLAS, TX 75265-0037
(214) 696-2008
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M0693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172629101
—
TX
05
—
172629102
—
TX
05
—
172629103
—
TX
05
—
172629104
—
TX
05
—
172629105
—
TX
05
—
172629106
—
TX
Enumeration date
07/14/2005
Last updated
02/06/2013
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