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Individual

DR. AUTUM LYNN DESOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5215 96TH ST, LUBBOCK, TX 79424-4413
(806) 780-6868
(806) 780-2065
Mailing address
5215 96TH ST, LUBBOCK, TX 79424-4413
(806) 780-6868
(806) 780-2065

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P6374
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2010
Last updated
04/08/2026
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