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NPI Code Detail

MEDICARE: DR. LORRAINE E. POWELL M.D.

MEDICARE: DR. LORRAINE E. POWELL M.D.
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 PhysicianBP10035458TX
2208000000XPediatrics PhysicianP4231TX

General Provider Information

NPI Number : 1003043134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORRAINE E. POWELL M.D.
Provider Business Mailing Address
First Line : 1912 W 35TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78703-1324
Country : US
Telephone Number : 512-451-5161
Fax Number : 512-451-1258
Provider Business Practice Location Address
First Line : 1912 W 35TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78703-1324
Country : US
Telephone Number : 512-451-5161
Fax Number : 512-451-1258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2009
Last Update Date : 06/09/2021

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