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NPI 1972577260

NPI 1972577260 : LOIS W GONZALEZ PH.D., A.P.R.N. : LUFKIN, TX

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General NPI Number Information
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    NPI Number           |    1972577260
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    Entity Type          |    Individual 
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    Provider Name        |    LOIS W GONZALEZ PH.D., A.P.R.N.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/14/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2301 W FRANK AVE 
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    City                 |    LUFKIN
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    State                |    TX
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    Zip                  |    75904-3520
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    Country              |    US
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    Telephone            |    936-637-7600
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    Fax                  |    936-637-4990
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Provider Business Mailing Address
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    Address Line         |    2301 W FRANK AVE 
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    City                 |    LUFKIN
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    State                |    TX
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    Zip                  |    75904-3520
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    Country              |    US
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    Telephone            |    936-637-7600
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    Fax                  |    936-637-4990
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    10486
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    000462-041982
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    225094
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    License Number State |    TX
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