| Lakeline Ranch Dental | |
|
10900 Lakeline Mall Dr Suite 250 Austin TX 78717-5924 | |
| (512) 583-0700 | |
| Not Available |
| Full Name | Lakeline Ranch Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10900 Lakeline Mall Dr, Austin, Texas |
| Authorized Official Name and Position | Elizabeth Lavagni Lowery (PRESIDENT) |
| Authorized Official Contact | 5125830700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeline Ranch Dental 10900 Lakeline Mall Dr Suite 250 Austin TX 78717-5924 Ph: (512) 583-0700 | Lakeline Ranch Dental 10900 Lakeline Mall Dr Suite 250 Austin TX 78717-5924 Ph: (512) 583-0700 |
| NPI Number | 1851553101 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851553101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21373 (Texas) | Primary |
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