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NPI Code Detail

MEDICARE: LORA ROSMAN LMSW

MEDICARE:   LORA  ROSMAN  LMSW
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
11041C0700XClinical Social Worker116410TX

General Provider Information

NPI Number : 1740156355
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORA ROSMAN LMSW
Provider Business Mailing Address
First Line : 1804 OWEN CT STE 100
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-4235
Country : US
Telephone Number : 817-812-2880
Fax Number :
Provider Business Practice Location Address
First Line : 1804 OWEN CT STE 100
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-4235
Country : US
Telephone Number : 817-812-2880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2025
Last Update Date : 10/13/2025

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