RAE LEEN HANNAH-LYON

FORT WORTH, TX
NPI1619499241
Former NameRAE LEEN HANNAH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP134481)
Enumeration Date2017-07-14
Last Update Date2018-03-01
Business Address
RAE LEEN HANNAH-LYON AGACNP-BC
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-5553
Mailing Address
RAE LEEN HANNAH-LYON AGACNP-BC
1412 MAY ST
FORT WORTH, TX 76104-7639
Phone number: 817-702-3431
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