Individual
LORRY ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N WALNUT ST, JEFFERSON, TX 75657-1935
(903) 251-2698
Mailing address
205 N WALNUT ST, JEFFERSON, TX 75657-1935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
74594
TX
Other
Enumeration date
07/06/2018
Last updated
04/22/2026
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