Individual
ELIZABETH KELLER LOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 HILLCREST MEDICAL BLVD STE 300, WACO, TX 76712-8951
(254) 313-6500
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
S2613
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2017
Last updated
09/30/2021
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