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LOLA DARLENE PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4102 24TH STREET, SUITE 412, LUBBOCK, TX 79410
(806) 725-6451
(806) 799-4180
Mailing address
3420 22ND PLACE, LUBBOCK, TX 79410
(806) 725-7800
(806) 723-6532

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E0267
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116081404
TX
Enumeration date
04/14/2006
Last updated
09/18/2008
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