Individual
LORI MICHELLE FONDREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1493 COUNTY ROAD 421, EVANT, TX 76525-2535
(254) 248-4368
Mailing address
1493 COUNTY ROAD 421, EVANT, TX 76525-2535
(254) 248-4368
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1038161
TX
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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