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Individual

SOMMER LONG LEDKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
619 S FLEISHEL AVE STE 100, TYLER, TX 75701-2004
(903) 606-3627
Mailing address
1180 COUNTY ROAD 2320, MINEOLA, TX 75773-3658
(903) 312-5565

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
830380
TX
363L00000X
Nurse Practitioner
Primary
1075174
TX

Other

Enumeration date
03/04/2022
Last updated
07/30/2024
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