Shepherd, Loni Lynn

Shepherd, Loni Lynn is an sole proprietor health care provider with primary practice located at 208 Oak Dr S Suite 400, Lake Jackson TX 77566-5790. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shepherd, Loni Lynn can be contacted via phone (979) 285-2900.

Contact Information

Primary practice address
208 Oak Dr S Suite 400 Lake Jackson TX 77566-5790
Phone: (979) 285-2900
Fax: (979) 285-2904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X BP1-0029096 Texas

Profile Details

NPI number 1073704268
LBN Legal business name Shepherd, Loni Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2007
Last updated Dec 7th, 2010 - about 14 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 1073704268 NPPES
Texas MEDICAID 214871001
Texas Other 4644840750

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