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Mr. Lucillous P Alexander, PA
Medical Physician Assistant in Longview, Texas
NPI 1215228119

Lucillous P Alexander is a Medical Physician Assistant based in Atlanta, TX and is specialized in Medical. Lucillous P Alexander practices in Longview, TX and has the professional credentials of PA. The NPI Number for Lucillous P Alexander is 1215228119 and holds a License No. PA06875 (Texas).

The current practice location address for Lucillous P Alexander is 1207A E Marshall Ave, Longview, TX and can be reached out via phone at 903-907-7003.

Location: 1207A E Marshall Ave, Longview, TX, 30374-6079
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215228119
Provider Name
Lucillous P Alexander
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1207A E Marshall Ave, Longview, TX, 30374-6079
Phone Number
903-907-7003
Fax Number
Provider Enumeration Date
04/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1207A E Marshall Ave
City
Longview
State
Texas
Zip
75601-5604
Phone Number
903-907-7003
Fax Number
person
Provider Business Mailing Address Details
Address
1207A E Marshall Ave
City
Longview
State
Texas
Zip
75601-5604
Phone Number
903-907-7003
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA06875 (Texas)
Definition
Definition to come...
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