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NPI Code Detail

MEDICARE: LAURENCE ASHLEY LIGON MD

MEDICARE: LAURENCE ASHLEY LIGON 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
1207Q00000XFamily Medicine PhysicianH2535TX

General Provider Information

NPI Number : 1154322592
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURENCE ASHLEY LIGON MD
Provider Business Mailing Address
First Line : 912 S CAPITAL OF TEXAS HWY
Second Line : STE 100
City : AUSTIN
State : TX
Zip : 78746-5264
Country : US
Telephone Number : 512-306-8360
Fax Number : 512-306-8176
Provider Business Practice Location Address
First Line : 912 S CAPITAL OF TEXAS HWY
Second Line : STE 100
City : AUSTIN
State : TX
Zip : 78746-5264
Country : US
Telephone Number : 512-306-8360
Fax Number : 512-306-8176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/31/2007

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Directions to “ LAURENCE ASHLEY LIGON MD” Practice Location

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