Provider Demographics
NPI:1033916002
Name:LENA SHOUKFEH KHARRAT DDS PA
Entity type:Organization
Organization Name:LENA SHOUKFEH KHARRAT DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LENA
Authorized Official - Middle Name:S
Authorized Official - Last Name:KHARRAT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:806-544-9876
Mailing Address - Street 1:11201 NORFOLK AVE UNIT 10
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-7943
Mailing Address - Country:US
Mailing Address - Phone:806-544-9876
Mailing Address - Fax:
Practice Address - Street 1:5255 79TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2852
Practice Address - Country:US
Practice Address - Phone:806-794-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty