Individual
TANYA MICHELE LAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4102 24TH ST STE 504, LUBBOCK, TX 79410-1805
(806) 743-7700
(806) 743-7703
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP123647
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP123647
TX
Other
Enumeration date
12/04/2012
Last updated
09/10/2024
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