Individual
DR. LORI SHANNON GLOWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4701 OLD SHEPARD PL STE 100, PLANO, TX 75093-5295
(214) 358-2300
(214) 579-6992
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J3483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J3483
MEDICAL LICENSE
TX
Enumeration date
01/04/2006
Last updated
01/10/2024
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