Individual
RAELA STANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4102 24TH ST STE 504, LUBBOCK, TX 79410
(806) 743-7700
(806) 743-7703
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129239
TX
Other
Enumeration date
10/07/2015
Last updated
01/18/2022
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