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Individual

DR. AMANDA KIMBROUGH LAVIOLETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1004 W 32ND ST STE 400, AUSTIN, TX 78705-1915
(512) 454-5171
(512) 454-0704
Mailing address
1004 W 32ND ST STE 400, AUSTIN, TX 78705-1915
(512) 454-5171
(512) 454-0704

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7356
TX

Other

Enumeration date
06/14/2007
Last updated
06/09/2022
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