Organization
LYNDON MANSFIELD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANDEE MANSFIELD (ADMNISTRATOR)
(915) 532-2663
Entity
Organization
Contact information
Practice address
1901 ARIZONA AVE, EL PASO, TX 79902-5107
(915) 532-2663
(915) 532-0054
Mailing address
2121 WYOMING AVE, EL PASO, TX 79903-3508
(915) 532-2663
(915) 532-0054
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158055701
—
TX
Enumeration date
03/21/2007
Last updated
02/01/2010
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