Healthcare Provider Details

I. General information

NPI: 1841349313
Provider Name (Legal Business Name): LORI SUZZETTE AARON R.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 N CENTRAL EXPY
DALLAS TX
75231-2297
US

IV. Provider business mailing address

10400 N CENTRAL EXPY
DALLAS TX
75231-2297
US

V. Phone/Fax

Practice location:
  • Phone: 817-581-6100
  • Fax: 415-795-4434
Mailing address:
  • Phone: 903-227-1088
  • Fax: 415-795-4434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number64093
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: