Individual provider · Type 1 NPI
Lori Elizabeth Secerovic, NP
Family Nurse Practitioner · Desoto, TX
NPI number
1043987738
Active
Practice location
1111 South Interstate 35 East
Desoto, TX 75115
Mailing address
3412 Dwyer Ln
Flower Mound, TX 75022-2869
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2021040600 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1043987738
Lori Elizabeth Secerovic, NP's National Provider Identifier is 1043987738, issued on Aug 30, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Desoto, TX. The record was last updated on Aug 30, 2021.