Individual
LAUREN ANN GILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-1900
(214) 648-4081
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
Q4958
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2008
Last updated
07/24/2020
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