MICHELLE LYNAE IVERSON

SHAVANO PARK, TX
NPI1912140302
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: TX  U8537)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: TN  53547)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA  A115609)
Enumeration Date2009-04-14
Last Update Date2024-05-30
Business Address
MICHELLE LYNAE IVERSON M.D.
4085 DE ZAVALA RD STE 200
SHAVANO PARK, TX 78249-2084
Phone number: 210-558-6288
Mailing Address
MICHELLE LYNAE IVERSON M.D.
PO BOX 681149
SAN ANTONIO, TX 78268-1149
Phone number: 210-558-6288