LISA HAVICK

DALLAS, TX
NPI1063878288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP129579)
Enumeration Date2016-01-04
Last Update Date2019-11-15
Business Address
LISA HAVICK AGACNP
3500 GASTON AVE
DALLAS, TX 75246
Phone number: 214-820-0111
Mailing Address
LISA HAVICK AGACNP
3500 GASTON AVE
DALLAS, TX 75246-2088
Phone number: 214-820-0111
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