Individual
MR. LUCILLOUS P ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1207A E MARSHALL AVE, LONGVIEW, TX 75601-5604
(903) 907-7003
Mailing address
PO BOX 746079, ATLANTA, GA 30374-6079
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06875
TX
Other
Enumeration date
04/26/2011
Last updated
05/10/2023
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