Jenny Lee Ravenscroft M.D.

NPI 1679772107 - Pediatrics - 2080N0001X

NPI Details
NPI 1679772107
Gender Female
Enumeration Date 07/14/2007
Last Updated 07/14/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3601 4TH ST
TTUHSC, DEPT. OF PEDIATRICS - ROOM 4B098
LUBBOCK TX, 79430-0002, US
Phone (806) 749-9150
Fax (806) 747-9914
Business Location
2028 RUNNING BROOK LN
PEARLAND TX, 77584-6778, US
Phone
Fax
Toxanomy
Taxonomy Code 2080N0001X
License State Texas
License Number TEMPORARY LICENSE
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According to our database, Dr. Jenny Lee Ravenscroft M.D. NPI is 1679772107, taxonomy code is 2080N0001X and license number is TEMPORARY LICENSE, license state is located at Texas. Jenny Lee Ravenscroft M.D. physically located at 3601 4th St, Lubbock TX, 79430-0002. NPI Number Jenny Lee Ravenscroft M.D. has the Individual type.

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1679772107 NPI number is provided on an as is basis without warranty of any kind. 1679772107 is maintained by the National Plan & Provider Enumeration System. The contents of Jenny Lee Ravenscroft M.D. are for informational purposes only.