Chancellor, Lori A.

Chancellor, Lori A. is an individual health care provider with primary practice located at 2000 E Lamar Blvd Ste 400, Arlington TX 76006-7346. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Chancellor, Lori A. can be contacted via phone (817) 861-3994.

Contact Information

Primary practice address
2000 E Lamar Blvd Ste 400 Arlington TX 76006-7346
Phone: (817) 861-3994
Fax: (682) 227-6869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 248515 Texas

Profile Details

NPI number 1124070958
LBN Legal business name Chancellor, Lori A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 13th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124070958 NPPES
Texas MEDICAID 177537101

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