Individual
LOURDES DE LA O
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
(915) 564-7878
Mailing address
10920 CHIPPENDALE AVE, EL PASO, TX 79934-3133
(915) 249-9114
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
160396
TX
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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