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NPI Code Detail

MEDICARE: DR. LORI JAN MAY-MALONE MD

MEDICARE:  DR. LORI JAN MAY-MALONE  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
12085B0100XBody Imaging PhysicianL6107TX
22085N0700XNeuroradiology PhysicianL6107TX
32085N0904XNuclear Radiology PhysicianL6107TX
42085P0229XPediatric Radiology PhysicianL6107TX
52085R0202XDiagnostic Radiology PhysicianL6107TX
62085R0204XVascular & Interventional Radiology PhysicianL6107TX
72085U0001XDiagnostic Ultrasound PhysicianL6107TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538119110
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORI JAN MAY-MALONE MD
Provider Business Mailing Address
First Line : 300 MIRON DR
Second Line :
City : SOUTHLAKE
State : TX
Zip : 76092-7862
Country : US
Telephone Number : 817-749-2000
Fax Number : 817-749-2020
Provider Business Practice Location Address
First Line : 2817 S MAYHILL RD
Second Line : STE 270
City : DENTON
State : TX
Zip : 76208-5966
Country : US
Telephone Number : 940-483-9500
Fax Number : 940-483-9550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 05/31/2012

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Directions to “ DR. LORI JAN MAY-MALONE MD” Practice Location

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