Individual provider · Type 1 NPI

Pavis Laengvejkal, MD

Student in an Organized Health Care Education/Training Program · Lubbock, TX

NPI number 1164786489 Active

Practice location

3601 4th St, Ms 9410
Lubbock, TX 79430-0002

Call (806) 743-3155 Map

Fax (806) 743-2978

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164786489

Pavis Laengvejkal, MD's National Provider Identifier is 1164786489, issued on Jul 2, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on Jul 2, 2012.