Individual
DR. JANA LISLE WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 HOLLYBROOK DR, LONGVIEW, TX 75605-2410
(903) 757-6042
(903) 232-8226
Mailing address
PO BOX 29343, BELFAST, ME 04915-2045
(903) 232-8290
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Q1057
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
Q1057
TX
Other
Enumeration date
04/21/2010
Last updated
01/18/2022
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