Individual
LUBNA A GAZAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 LAKE SHORE DR, WACO, TX 76708-1276
(254) 752-1075
Mailing address
308 FANNIN DR, HEWITT, TX 76643-3145
(254) 214-2683
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216797
TX
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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