Individual
MRS. LOUISE LAVETT DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 CIMARRON TRAIL 190, SUITE 9, IRVING, TX 75063
(667) 298-8921
Mailing address
305 CIMARRON TRL # 190, IRVING, TX 75063-4508
(443) 636-0595
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
TX
1744P3200X
Prosthetics Case Management
—
—
Other
Enumeration date
03/28/2023
Last updated
08/23/2023
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