LISA CARRIE ARCHAMBAULT MALLON

TEMPLE, TX
NPI1992708408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP113823)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  712821)
Enumeration Date2005-05-30
Last Update Date2022-09-30
Business Address
LISA CARRIE ARCHAMBAULT MALLON CRNA
2401 S 31ST ST
TEMPLE, TX 76508-9210
Phone number: 254-724-2111
Mailing Address
LISA CARRIE ARCHAMBAULT MALLON CRNA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111