Individual
SUSAN DOCTOLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
3506 21ST ST, SUITE 302, LUBBOCK, TX 79410-1212
(806) 725-1908
(806) 723-6095
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 725-4721
(806) 723-6095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP122715
TX
Other
Enumeration date
12/13/2012
Last updated
11/19/2018
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