Wick, Lori L.

Wick, Lori L. is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Wick, Lori L. can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Phone: (254) 724-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X H4792 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X H4792 Texas

Profile Details

NPI number 1467414847
LBN Legal business name Wick, Lori L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Aug 21st, 2009 - about 15 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 1467414847 NPPES
Texas Other 1255762-03 CSHCN
Texas Other 84W321 CSHCN
Texas Other 370017482 CSHCN
Texas MEDICAID 1255762-04 CSHCN
Texas Other 8L14217 CSHCN

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