Individual provider · Type 1 NPI

Lonnie Lee Whiddon, MD

Specialist · Dallas, TX

NPI number 1205890290 Active

Practice location

7777 Forest Ln
Dallas, TX 75230-2505

Fax (972) 566-3858

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XE0644 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1205890290

Lonnie Lee Whiddon, MD's National Provider Identifier is 1205890290, issued on Apr 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dallas, TX. The record was last updated on Jul 13, 2026.