Individual
MS. DORA LEE FANTROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/PHLEBOTOMIST
Contact information
Practice address
195 E ROUND GROVE RD APT 1311, LEWISVILLE, TX 75067-8375
(251) 545-8360
Mailing address
195 E ROUND GROVE RD APT 1311, LEWISVILLE, TX 75067-8375
(251) 545-8360
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
157743
TX
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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