Provider Demographics
NPI:1992502223
Name:ROMERO, LORRAINE (ABOC NCLEC)
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:ABOC NCLEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S FRY RD STE 120
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2243
Mailing Address - Country:US
Mailing Address - Phone:281-492-8982
Mailing Address - Fax:281-492-6184
Practice Address - Street 1:701 S FRY RD STE 120
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2243
Practice Address - Country:US
Practice Address - Phone:281-492-8982
Practice Address - Fax:281-492-6184
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX166383156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician