Individual
LORI KAY ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1400 N WESTMORELAND RD, DEHARO SALDIVAR HEALTH CENTER, DALLAS, TX 75211-1656
(214) 266-0500
(214) 266-0554
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
617604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187584101
—
TX
05
—
187584102
—
TX
01
—
8Y3213
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/08/2007
Last updated
03/25/2011
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