Individual
LAVINIA HSUAN-JU LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13601 PRESTON RD, STE 1000W, DALLAS, TX 75240-4911
(972) 715-5000
Mailing address
P.O. BOX 650426, DALLAS, TX 75265-0426
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
122129
TX
207L00000X
Anesthesiology Physician
Primary
N1736
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00584469
DRIVER LICENSE
TX
05
—
201602401
—
TX
01
—
8BZ065
BCBS
TX
01
—
N1736
STATE LICENSE
TX
Enumeration date
02/23/2009
Last updated
12/01/2021
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