Individual
LAHOMA PRIVITERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGNP
Contact information
Practice address
4601 OLD SHEPARD PL., BUILDING ONE, SUITE 101, PLANO, TX 75093-7509
(214) 919-2360
Mailing address
4601 OLD SHEPARD PL STE 101, PLANO, TX 75093-5251
(214) 919-2360
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP143228
TX
Other
Enumeration date
10/01/2019
Last updated
04/29/2020
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