Individual
JENNIFER LYNN PHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
808 JOLIET AVE UNIT 230, LUBBOCK, TX 79415-1159
(806) 743-4256
(806) 743-4462
Mailing address
15801 COUNTY ROAD 1870, LUBBOCK, TX 79424-6569
(806) 863-2431
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
K5661
TX
Other
Enumeration date
10/27/2005
Last updated
10/26/2021
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