Individual
LORRAINE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 ALBERTA AVE, EL PASO, TX 79924
(915) 215-5557
(915) 215-5729
Mailing address
1701 EDWARD DR, EDINBURG, TX 78539-8008
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
T0054
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/13/2015
Last updated
04/08/2025
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