Provider Demographics
NPI:1730259326
Name:THORNTON, LORI ANN (RN FNPC)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ANN
Last Name:THORNTON
Suffix:
Gender:F
Credentials:RN FNPC
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Mailing Address - Street 1:1935 MOTOR ST
Mailing Address - Street 2:ORTHOPEDICS
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7701
Mailing Address - Country:US
Mailing Address - Phone:214-456-5893
Mailing Address - Fax:214-456-5071
Practice Address - Street 1:1935 MOTOR ST
Practice Address - Street 2:ORTHOPEDICS
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-2751
Practice Address - Fax:214-456-5071
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX618183363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10034210OtherAMERIGROUP
TX16680OtherPARKLAND CHIP
TX7978695OtherAETNA
TX7978695OtherAETNA