Individual
MARY LEAH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 317-0016
Mailing address
5520 121ST ST APT A, LUBBOCK, TX 79424-8543
(360) 969-6775
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60126645
WA
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
Primary
U5188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148564001
—
AR
Enumeration date
08/09/2006
Last updated
10/18/2023
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