Individual
LIA L BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
711 US HIGHWAY 84 W, TEAGUE, TX 75860-5107
(254) 739-2660
Mailing address
711 US HIGHWAY 84 W, TEAGUE, TX 75860-5107
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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