Provider Demographics
NPI:1760842462
Name:LORI E. FOX, APRN, PLLC
Entity Type:Organization
Organization Name:LORI E. FOX, APRN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:919-622-1432
Mailing Address - Street 1:924 E 53RD ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-2246
Mailing Address - Country:US
Mailing Address - Phone:919-622-1432
Mailing Address - Fax:
Practice Address - Street 1:2700 BEE CAVES RD
Practice Address - Street 2:SUITE 203
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5675
Practice Address - Country:US
Practice Address - Phone:512-328-7222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX808937363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty