Provider Demographics
NPI:1275764987
Name:CELLA, LORI CECILE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:CECILE
Last Name:CELLA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12411 FOSSIL POINT LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3664
Mailing Address - Country:US
Mailing Address - Phone:318-518-5442
Mailing Address - Fax:
Practice Address - Street 1:9813 MEMORIAL BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4274
Practice Address - Country:US
Practice Address - Phone:281-319-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX716961363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily