Individual
MR. LONNIE EARL COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.T.A.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2848
Mailing address
8042 WAYWORD TRL, SAN ANTONIO, TX 78244-1833
(210) 666-0615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
003167
TX
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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