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Lisa Sansalone, PNP
Pediatric Nurse Practitioner in Houston, Texas
NPI 1043357908

Lisa Sansalone is a Pediatric Nurse Practitioner based in Houston, TX and is specialized in Pediatrics. Lisa Sansalone practices in Houston, TX and has the professional credentials of PNP. The NPI Number for Lisa Sansalone is 1043357908 and holds a License No. 695480 (Texas).

The current practice location address for Lisa Sansalone is 6410 Fannin St, Houston, TX and can be reached out via phone at 832-325-7125.

Location: 6410 Fannin St, Houston, TX, 77216-1088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043357908
Provider Name
Lisa Sansalone
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
6410 Fannin St, Houston, TX, 77216-1088
Phone Number
832-325-7125
Fax Number
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8Y1512 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
6410 Fannin St
City
Houston
State
Texas
Zip
77030-3000
Phone Number
832-325-7125
Fax Number
person
Provider Business Mailing Address Details
Address
6410 Fannin St
City
Houston
State
Texas
Zip
77030-3000
Phone Number
832-325-7125
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
695480 (Texas)
Definition
Definition to come...
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