MEDICARE: MRS. LORI YVONNE CAMA RN

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
1	163W00000X	Registered Nurse	705254	TX

General Provider Information

NPI Number	:	1154517472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORI YVONNE CAMA RN

Provider Business Mailing Address
First Line	:	5219 SAN PABLO GARDENS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-4044
Country	:	US
Telephone Number	:	713-922-5688
Fax Number	:

Provider Business Practice Location Address
First Line	:	5219 SAN PABLO GARDENS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-4044
Country	:	US
Telephone Number	:	713-922-5688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2007
Last Update Date	:	09/20/2007

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