Individual
DR. LANESSA D BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 590-5612
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 590-5612
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
E-4425
AR
208000000X
Pediatrics Physician
Primary
M3466
TX
Other
Enumeration date
07/17/2006
Last updated
08/04/2025
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