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1205890290
LONNIE LEE WHIDDON
DALLAS, TX
NPI
1205890290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TX E0644)
Enumeration Date
2006-04-14
Last Update Date
2007-07-08
Business Address
-- LONNIE LEE WHIDDON M.D.
7777 FOREST LN
DALLAS, TX 75230-2505
Phone number: 972-566-7492
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Mailing Address
-- LONNIE LEE WHIDDON M.D.
7777 FOREST LN
DALLAS, TX 75230-2529
Phone number: 972-566-7492
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