Individual
LORI NOVICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 MONTEREY OAKS BLVD APT 837, AUSTIN, TX 78749-4325
(239) 628-7299
Mailing address
4600 MONTEREY OAKS BLVD APT 837, AUSTIN, TX 78749-4325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1029372
TX
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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