LISA MICHELLE LANE

SAN AUGUSTINE, TX
NPI1366106759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1057387)
Enumeration Date2021-10-22
Last Update Date2022-09-04
Business Address
LISA MICHELLE LANE
200 E LIVINGSTON ST
SAN AUGUSTINE, TX 75972-2028
Phone number: 322-759-9109
Mailing Address
LISA MICHELLE LANE
200 E LIVINGSTON ST
SAN AUGUSTINE, TX 75972-2028
Phone number: 322-759-9109
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