Individual
EDITH LEPGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 W 38TH ST STE 601, AUSTIN, TX 78705-1015
(512) 454-5171
Mailing address
1301 W 38TH ST STE 601, AUSTIN, TX 78705-1015
(512) 454-5171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M5814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186992703
—
TX
Enumeration date
08/22/2006
Last updated
02/24/2009
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