Individual
LORRAINE EXCLUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 TANAGER PASS, LEANDER, TX 78641-3855
(512) 902-8925
Mailing address
220 TANAGER PASS, LEANDER, TX 78641-3855
(512) 902-8925
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
331003
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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