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Organization

LODESPOTO MEDICAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK LODESPOTO MD (OWNER)
(972) 503-4419
Entity
Organization

Contact information

Practice address
100 CONGRESS AVE STE 2000, AUSTIN, TX 78701-2745
(972) 503-4419
(844) 753-4371
Mailing address
PO BOX 958, PORT JEFFERSON STATION, NY 11776-0811
(972) 503-4419
(844) 753-4371

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary

Other

Enumeration date
10/31/2016
Last updated
10/25/2017
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