NPI | 1922042472 |
---|---|
Former Name | LISA M LESNIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA04146) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA04146) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2022-01-20 |