Organization
COFFEY LORENZO AND ASSOCIATEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORSEY SHANTEL COFFEY L.S.A. (LICENSED SURGICAL ASSISTANT)
(512) 771-8731
Entity
Organization
Contact information
Practice address
7200 FLYNN CIR, AUSTIN, TX 78736-3053
(512) 771-8769
Mailing address
7200 FLYNN CIR, AUSTIN, TX 78736-3053
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
SA00060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00060
STATE LIC
TX
Enumeration date
03/28/2007
Last updated
08/22/2020
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