Provider Demographics
NPI:1710944996
Name:SPIES, LORI ANN (RN NP)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:ANN
Last Name:SPIES
Suffix:
Gender:F
Credentials:RN NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 BARNES BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-9409
Mailing Address - Country:US
Mailing Address - Phone:469-964-8355
Mailing Address - Fax:
Practice Address - Street 1:565 W I 30
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5702
Practice Address - Country:US
Practice Address - Phone:972-303-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-30
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP109426363LF0000X
TX602127163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse