Individual
ALLISON MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2514 82ND ST, SUITE G, LUBBOCK, TX 79423-2222
(806) 745-7995
Mailing address
2514 82ND ST, SUITE G, LUBBOCK, TX 79423-2222
(806) 745-7995
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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