Individual
LILLIAN S TEEPLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 S BONHAM ST, MEXIA, TX 76667-3603
(254) 562-5332
(903) 677-5586
Mailing address
PO BOX 1849, PALESTINE, TX 75802-1849
(903) 675-3202
(903) 677-5586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
216146
TX
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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