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NPI Code Detail

MEDICARE: LORINDA LILES NP-C

MEDICARE: LORINDA LILES NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP127308TX

General Provider Information

NPI Number : 1104207414
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORINDA LILES NP-C
Provider Business Mailing Address
First Line : 9900 N CENTRAL EXPY STE 215
Second Line :
City : DALLAS
State : TX
Zip : 75231-0929
Country : US
Telephone Number : 214-396-4950
Fax Number : 877-423-5360
Provider Business Practice Location Address
First Line : 9900 N CENTRAL EXPY STE 215
Second Line :
City : DALLAS
State : TX
Zip : 75231-0929
Country : US
Telephone Number : 214-396-4950
Fax Number : 877-423-5360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2015
Last Update Date : 02/15/2023

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Directions to “ LORINDA LILES NP-C” Practice Location

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