Kathy Ann Lacivita MD

NPI 1083721153 - Internal Medicine - 207RE0101X

NPI Details
NPI 1083721153
Gender Female
Enumeration Date 08/24/2006
Last Updated 10/16/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
701 S ZARZAMORA ST
SAN ANTONIO TX, 78207-5209, US
Phone (210) 358-7000
Fax (210) 358-7406
Business Location
PO BOX 87
SAN ANTONIO TX, 78291-0087, US
Phone (210) 358-9172
Fax (210) 358-9183
Toxanomy
Taxonomy Code 207RE0101X
License State Texas
License Number K0101
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According to our database, Dr. Kathy Ann Lacivita MD NPI is 1083721153, taxonomy code is 207RE0101X and license number is K0101, license state is located at Texas. Kathy Ann Lacivita MD physically located at 701 S Zarzamora St, San Antonio TX, 78207-5209. NPI Number Kathy Ann Lacivita MD has the Individual type.

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1083721153 NPI number is provided on an as is basis without warranty of any kind. 1083721153 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Ann Lacivita MD are for informational purposes only.