Provider Demographics
NPI:1033716402
Name:LUFKIN LIFESTYLE AND FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:LUFKIN LIFESTYLE AND FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-632-2802
Mailing Address - Street 1:111 E SHEPHERD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-0315
Mailing Address - Country:US
Mailing Address - Phone:936-632-2802
Mailing Address - Fax:936-463-6134
Practice Address - Street 1:109 N 1ST ST
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-3003
Practice Address - Country:US
Practice Address - Phone:369-632-2802
Practice Address - Fax:369-286-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care