Individual
MR. LONNIE JAMES GINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2096
(972) 280-0080
(972) 280-0081
Mailing address
PO BOX 1145, EULESS, TX 76039-1145
(972) 280-0080
(972) 280-0081
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00518
TX
Other
Enumeration date
06/09/2006
Last updated
06/30/2009
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