Individual
DR. HANNAH LEIGH CORAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410
(806) 725-2233
(806) 723-0053
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R0848
TX
390200000X
Student in an Organized Health Care Education/Training Program
5101020653
MI
Other
Enumeration date
06/06/2013
Last updated
08/24/2018
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