Individual
LUM NDE PATRICIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 MEADOW VIEW TRL, FORT WORTH, TX 76120-2627
(817) 917-6079
Mailing address
7901 MEADOW VIEW TRL, FORT WORTH, TX 76120-2627
(817) 917-6079
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
343064
TX
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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