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Individual
LAVINIA P. MIDDLETON
Active
Individual
LAVINIA P. MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
K7341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102592602
—
TX
01
—
220028940
RR MEDICARE
TX
01
—
83637Y
BCBS
TX
Enumeration date
10/05/2006
Last updated
07/05/2012
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