Basic Information
| Provider Information | |||||||||
| NPI: | 1457881591 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KARL | ||||||||
| FirstName: | LORI | ||||||||
| MiddleName: | LEA | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3002 SAM HOUSTON DR | ||||||||
| Address2: | |||||||||
| City: | VICTORIA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 779042682 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3615785730 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1013 S WELLS ST | ||||||||
| Address2: | |||||||||
| City: | EDNA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 779574045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3617827820 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | AP134120 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.