Mamlok, Viviane

Mamlok, Viviane is an individual health care provider with primary practice located at 3601 4Th St 1A115, Lubbock TX 79430-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Pediatric Pathology is her primary health care specialty. Mamlok, Viviane can be contacted via phone (806) 743-2155.

Contact Information

Primary practice address
3601 4Th St 1A115 Lubbock TX 79430-0002
Phone: (806) 743-2155
Fax: (806) 743-2117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X H0597 Texas
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X H0597 Texas

Profile Details

NPI number 1073516993
LBN Legal business name Mamlok, Viviane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073516993 NPPES
Other A120 TRIWEST
MEDICAID 52453 TRIWEST
Other 82P200 TRIWEST
Other 52453 TRIWEST
Other 80816Z TRIWEST
MEDICAID J6446 TRIWEST

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