| NPI | 1215333075 |
|---|---|
| Former Name | LISA LAVON FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A004072) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP126713) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A004072) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2020-01-10 |