| NPI | 1003153628 |
|---|---|
| Former Name | LONNIE RICHARD COLEMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 685397) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP122831) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2023-08-15 |