MEDICARE: LBM MEDICAL CLINIC LLC.

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1962243634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LBM MEDICAL CLINIC LLC.

Provider Business Mailing Address
First Line	:	701 FIRESIDE DR
Second Line	:
City	:	AUBREY
State	:	TX
Zip	:	76227-1507
Country	:	US
Telephone Number	:	770-715-3536
Fax Number	:	903-998-1024

Provider Business Practice Location Address
First Line	:	707 S INTERSTATE 35 E STE 122
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-8101
Country	:	US
Telephone Number	:	903-519-6046
Fax Number	:	903-998-1024

Authorized Official
Title or Position	:	PROVIDER/OWNER
Name	:	LYNETTE BELL
Credential	:	APRN
Telephone Number	:	770-715-3536

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	06/24/2025

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Directions to “LBM MEDICAL CLINIC LLC. ” Practice Location

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