Provider Demographics
NPI:1972561629
Name:HILLMAN, LORI JEAN (DPM)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:JEAN
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26607 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1968
Mailing Address - Country:US
Mailing Address - Phone:281-363-1200
Mailing Address - Fax:281-298-2226
Practice Address - Street 1:26607 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-363-1200
Practice Address - Fax:281-298-2226
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2010-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX982213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8204276OtherHMO BLUE PROVIDER
TX018617301Medicaid
TX0392242OtherAMERI HEALTH
V04276Medicare UPIN
TX00A78LMedicare ID - Type Unspecified