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NPI Code Detail

MEDICARE: ALLISON LAI WITTENBURG MD

MEDICARE: ALLISON LAI WITTENBURG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianW5622TX

General Provider Information

NPI Number : 1063973089
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON LAI WITTENBURG MD
Provider Business Mailing Address
First Line : 4900 MUELLER BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3079
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4900 MUELLER BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3079
Country : US
Telephone Number : 512-324-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2019
Last Update Date : 06/05/2026

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Directions to “ ALLISON LAI WITTENBURG MD” Practice Location

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