| NPI | 1356395818 |
|---|---|
| Professional Name | LORI D MOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03107) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA200543) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-03-29 |