Individual
LORI ANN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 794-7190
Mailing address
1017 WILLOWCREEK, LAPORTE, TX 77571
(713) 794-7190
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
205198
TX
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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