Organization
TERESA D TODD MD PA
Active
Other names
Lufkin Pathology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA D TODD MD (PRESIDENT SECRETARY)
(936) 632-5920
Entity
Organization
Contact information
Practice address
700 GASLIGHT BOULEVARD, LUFKIN, TX 75904-3153
(936) 632-5920
(936) 632-5470
Mailing address
PO BOX 1907, GREENVILLE, TX 75403-1907
(936) 632-5920
(936) 632-5470
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL0709
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
08/09/2006
Last updated
10/30/2007
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