Rebecca E. Raedeke, Md, PA

NPI #1336319789 in Lubbock, Texas

Provider Information

NPI Number: 1336319789
Entity Type: Organization
Organization Name: Rebecca E. Raedeke, Md, PA
Primary Specialty: Internal Medicine
Enumeration Date: Mar 1, 2008
Last Updated: Mar 1, 2008

Practice Location

Address: 3506 21ST ST
Address 2: SUITE 601
City: Lubbock
State: Texas
ZIP Code: 79410-1212
Phone: (806) 722-3610

Authorized Official

Name: DR. REBECCA RAEDEKE, MD
Title: PHYSICIAN
Phone: (806) 722-3610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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