Provider Demographics
NPI:1205490323
Name:ROMAN, LORI (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:ROMAN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 GREEN OAK TERRACE CT STE 200
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2960
Mailing Address - Country:US
Mailing Address - Phone:832-846-5551
Mailing Address - Fax:
Practice Address - Street 1:1414 GREEN OAK TERRACE CT STE 200
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2960
Practice Address - Country:US
Practice Address - Phone:832-846-5551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2024-08-15
Deactivation Date:2024-07-22
Deactivation Code:
Reactivation Date:2024-08-15
Provider Licenses
StateLicense IDTaxonomies
TXAP140669363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care