Individual
KATY LEASE LONERGAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-8000
(214) 645-7269
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8000
(214) 645-7269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P4341
TX
207RC0000X
Cardiovascular Disease Physician
A86361
CA
207RC0000X
Cardiovascular Disease Physician
Primary
P4341
TX
208M00000X
Hospitalist Physician
A86361
CA
Other
Enumeration date
11/20/2006
Last updated
11/28/2012
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