Lori Mitchell M.D.

NPI 1710365655 - Pediatrics - 208000000X

NPI Details
NPI 1710365655
Gender Female
Enumeration Date 05/12/2015
Last Updated 05/12/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
301 UNIVERSITY BLVD
PRIMARY CARE PAVILLION
GALVESTON TX, 77555-1119, US
Phone (409) 772-3695
Fax (409) 772-3680
Business Location
301 UNIVERSITY BLVD
RB6 ROOM 3.230
GALVESTON TX, 77555-0354, US
Phone (409) 747-0534
Fax (409) 747-0721
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number BP1-0053414
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According to our database, Lori Mitchell M.D. NPI is 1710365655, taxonomy code is 208000000X and license number is BP1-0053414, license state is located at Texas. Lori Mitchell M.D. physically located at 301 University Blvd, Galveston TX, 77555-1119. NPI Number Lori Mitchell M.D. has the Individual type.

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1710365655 NPI number is provided on an as is basis without warranty of any kind. 1710365655 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Mitchell M.D. are for informational purposes only.