Provider Demographics
NPI:1396206496
Name:PRATT, LORRI L
Entity Type:Individual
Prefix:
First Name:LORRI
Middle Name:L
Last Name:PRATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 W PIPELINE RD
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-5974
Mailing Address - Country:US
Mailing Address - Phone:214-998-4610
Mailing Address - Fax:
Practice Address - Street 1:4215 W PIPELINE RD
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-5974
Practice Address - Country:US
Practice Address - Phone:817-282-3295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker