Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VIVIANE MAMLOK, M.D.
ActivePediatric Pathology · LUBBOCK, TX
Registration Details
- NPI Number
- 1073516993
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2005 (20.912980121944 yrs)
- Last Updated
- Jul 12, 2007
- Licenses
-
H0597 (TX)H0597 (TX)
Practice Information
- Address
-
3601 4TH ST1A115LUBBOCK, TX, 794300002Browse TX providers · Browse ZIP 79430
- Phone
- 8067432155
- Fax
- 8067432117
- Primary Specialty
-
Pediatric Pathology
207ZP0213X
- Additional Specialty
- Pediatric Pathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.