DR. Autum Lynn Desoto, MD

NPI #1730404872 in Lubbock, Texas

Provider Information

NPI Number: 1730404872
Entity Type: Individual
Name: DR. Autum Lynn Desoto, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Apr 1, 2010
Last Updated: Aug 13, 2013

Practice Location

Address: 4102 24TH ST
Address 2: SUITE 507
City: Lubbock
State: Texas
ZIP Code: 79410-1806
Phone: (806) 725-7750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Pediatrics	208000000X	Primary

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