Healthcare Provider Details

I. General information

NPI: 1992020820
Provider Name (Legal Business Name): LORI LYNN TOWSON APRN, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2010
Last Update Date: 01/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 S LANCASTER RD (116A)
DALLAS TX
75216-7167
US

IV. Provider business mailing address

2432 WATERSTONE DR
CEDAR HILL TX
75104-2401
US

V. Phone/Fax

Practice location:
  • Phone: 214-857-4313
  • Fax:
Mailing address:
  • Phone: 907-360-8673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number570480
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number570480
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: