Individual
LORRIE ANN TYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 CROWNHILL BLVD STE 300, SAN ANTONIO, TX 78209-1128
(210) 824-5530
Mailing address
580 CR 514, D HANIS, TX 78850
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
137147
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137147
LVN
TX
Enumeration date
12/16/2018
Last updated
12/16/2018
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