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Lilac Botbol
Family Nurse Practitioner in Austin, Texas
NPI 1215286919

Lilac Botbol is a Family Nurse Practitioner based in Austin, TX and is specialized in Family. Lilac Botbol practices in Austin, TX. The NPI Number for Lilac Botbol is 1215286919 and holds a License No. AP122327 (Texas).

The current practice location address for Lilac Botbol is 1606 Gaylord Dr, Austin, TX and can be reached out via phone at 512-965-9120.

Location: 1606 Gaylord Dr, Austin, TX, 78728-5712
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Provider Profile Details
NPI Number
1215286919
Provider Name
Lilac Botbol
Credential
Provider Entity Type
Individual
Gender
Female
Address
1606 Gaylord Dr, Austin, TX, 78728-5712
Phone Number
512-965-9120
Fax Number
Provider Enumeration Date
09/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1606 Gaylord Dr
City
State
Zip
78728-5712
Phone Number
512-965-9120
Fax Number
person
Provider Business Mailing Address Details
Address
1606 Gaylord Dr
City
State
Zip
78728-5712
Phone Number
512-965-9120
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP122327 (Texas)
Definition
Definition to come...
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