Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | K0111 | TX |
NPI | 1033262068 |
---|---|
Provider Name | Dr. Carter Lane Lifshutz |
First Address | Lubbock, TX 79416-3146 |
Second Address | Lubbock, TX 79415-3364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2007 |
Last Update Date | 08/07/2007 |