Individual
DR. KATHY ANN LACIVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7000
(210) 358-7406
Mailing address
PO BOX 87, SAN ANTONIO, TX 78291-0087
(210) 358-9172
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
K0101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104492702
—
TX
Enumeration date
08/24/2006
Last updated
10/16/2014
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