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NPI Code Detail

MEDICARE: LORI BETH MENDOZA

MEDICARE:   LORI BETH MENDOZA
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
1235Z00000XSpeech-Language Pathologist114922TX

General Provider Information

NPI Number : 1578289914
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI BETH MENDOZA
Provider Business Mailing Address
First Line : 3939 SPRING VALLEY RD
Second Line :
City : ADDISON
State : TX
Zip : 75001-3698
Country : US
Telephone Number : 972-925-1700
Fax Number :
Provider Business Practice Location Address
First Line : 3939 SPRING VALLEY RD
Second Line :
City : ADDISON
State : TX
Zip : 75001-3698
Country : US
Telephone Number : 972-925-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2022
Last Update Date : 10/18/2022

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Directions to “ LORI BETH MENDOZA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.