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NPI Code Detail

MEDICARE: DR. LORI D STETLER M.D.

MEDICARE: DR. LORI D STETLER M.D.
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
1207N00000XDermatology PhysicianH8436TX

General Provider Information

NPI Number : 1235137357
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORI D STETLER M.D.
Provider Business Mailing Address
First Line : 8201 PRESTON RD
Second Line : STE 350
City : DALLAS
State : TX
Zip : 75225-6203
Country : US
Telephone Number : 214-631-7546
Fax Number : 214-631-8546
Provider Business Practice Location Address
First Line : 8201 PRESTON RD
Second Line : STE 350
City : DALLAS
State : TX
Zip : 75225-6203
Country : US
Telephone Number : 214-631-7546
Fax Number : 214-631-8546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 07/08/2007

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Directions to “ DR. LORI D STETLER M.D.” Practice Location

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