Provider Demographics
NPI:1558464412
Name:ALBRITTON, LAMAR J (MD)
Entity Type:Individual
Prefix:DR
First Name:LAMAR
Middle Name:J
Last Name:ALBRITTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7922 EWING HALSELL DR
Mailing Address - Street 2:430
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3786
Mailing Address - Country:US
Mailing Address - Phone:210-614-3275
Mailing Address - Fax:210-692-9654
Practice Address - Street 1:7922 EWING HALSELL DR
Practice Address - Street 2:430
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3786
Practice Address - Country:US
Practice Address - Phone:210-614-3275
Practice Address - Fax:210-692-9654
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2016-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG9832207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115220904Medicaid
TXE77859Medicare UPIN