Provider Demographics
NPI:1669529129
Name:NAJAR, LORI LYNN (PA)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:LYNN
Last Name:NAJAR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:LYNN
Other - Last Name:HALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1305 WONDER WORLD DR
Mailing Address - Street 2:STE 200
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7502
Mailing Address - Country:US
Mailing Address - Phone:512-754-8676
Mailing Address - Fax:513-371-6891
Practice Address - Street 1:2028 SUNDANCE PARKWAY
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:830-609-1933
Practice Address - Fax:512-371-6891
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04913363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant