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Dlorm Llc
Gerontology Nurse Practitioner in Lago Vista, Texas
NPI 1043565930

Dlorm Llc is a Gerontology Nurse Practitioner based in Lago Vista, TX and is specialized in Gerontology. Dlorm Llc practices in Lago Vista, TX. The NPI Number for Dlorm Llc is 1043565930 and holds a License No. 672526 (Texas).

The current practice location address for Dlorm Llc is 4032 Outpost Trce, Lago Vista, TX and can be reached out via phone at 512-364-8494.

Location: 4032 Outpost Trce, Lago Vista, TX, 78645-6456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043565930
Provider Name
Dlorm Llc
Credential
Provider Entity Type
Organization
Address
4032 Outpost Trce, Lago Vista, TX, 78645-6456
Phone Number
512-364-8494
Fax Number
Provider Enumeration Date
07/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
672526 01 TX LICENCE NUMBER
institution
Provider Business Practice Location Address Details
Address
4032 Outpost Trce
City
Lago Vista
State
Texas
Zip
78645-6456
Phone Number
512-364-8494
Fax Number
person
Provider Business Mailing Address Details
Address
4032 Outpost Trce
City
Lago Vista
State
Texas
Zip
78645-6456
Phone Number
512-364-8494
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
672526 (Texas)
Definition
Definition to come...
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