Individual
LORA PYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1173 COUNTY RD 174, SAN DEIGO, TX 78384
(361) 453-1822
Mailing address
1173 COUNTY RD 174, SAN DEIGO, TX 78384
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
224205
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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