Individual
LUCILLE MARIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP BC
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1000
Mailing address
5309 FOX GLOVE LN, CORPUS CHRISTI, TX 78413-6057
(361) 446-0314
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP105880
TX
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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