Individual
LEA DENISE CLIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
7329 19TH ST, LUBBOCK, TX 79407-4301
(806) 392-5216
Mailing address
7329 19TH ST, LUBBOCK, TX 79407-4301
(806) 392-5216
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00818
TX
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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