Mrs. Lorraine Michelle Mata
Mrs. Lorraine Michelle Mata is a Pediatric Nurse Practitioner in El Paso, Texas. Licensed in Texas. Registered with an NPI since 2021.
- Licensed in
- TX
- In the registry since
- 2021
Practice location Address checks out
1400 N El Paso StEl Paso, TX 79902-3437
Phone: (915) 577-0445
Fax: (915) 577-0509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 1039612 (TX) |
|---|
Record details
| NPI number | 1619647393 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 15, 2021 |
| Last updated in NPPES | September 15, 2021 |
| Certification date | September 15, 2021 |
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