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1972158038
LAWRENCE LUSAKA
KATY, TX
NPI
1972158038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 974527)
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
LAWRENCE LUSAKA
21550 PROVINCIAL BLVD
KATY, TX 77450-7560
Phone number: 346-978-2007
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Mailing Address
LAWRENCE LUSAKA
21550 PROVINCIAL BLVD #1611 KATY
KATY, TX 77450
Phone number: 346-978-2007
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