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General NPI Number Information
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NPI Number | 1033716402
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Entity Type | Organization
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Legal Business Name | LUFKIN LIFESTYLE AND FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 109 N 1ST ST
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City | LUFKIN
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State | TX
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Zip | 75901-3003
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Country | US
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Telephone | 369-632-2802
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Fax | 369-286-3005
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Provider Business Mailing Address
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Address Line | 111 E SHEPHERD AVE STE B
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City | LUFKIN
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State | TX
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Zip | 75901-0315
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Country | US
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Telephone | 936-632-2802
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Fax | 936-463-6134
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Authorized Official
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Title or Position | FNP-C
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Name | MRS. HILLARY MCELROY
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Credential |
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Telephone | 936-632-2802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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