Individual
DR. JENNY LEE RAVENSCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 4TH ST, TTUHSC, DEPT. OF PEDIATRICS - ROOM 4B098, LUBBOCK, TX 79430-0002
(806) 749-9150
(806) 747-9914
Mailing address
2028 RUNNING BROOK LN, PEARLAND, TX 77584-6778
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
TEMPORARY LICENSE
TX
Other
Enumeration date
07/14/2007
Last updated
07/14/2007
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