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Lisa Marie Phelps
General Practice Registered Nurse in Austin, Texas
NPI 1326729351

Lisa Marie Phelps is a General Practice Registered Nurse based in Creedmoor, TX and is specialized in General Practice. Lisa Marie Phelps practices in Austin, TX. The NPI Number for Lisa Marie Phelps is 1326729351 and holds a License No. 1035476 (Texas).

The current practice location address for Lisa Marie Phelps is 1108 Lavaca St, Austin, TX and can be reached out via phone at 512-477-4088.

Location: 1108 Lavaca St, Austin, TX, 78610-3920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326729351
Provider Name
Lisa Marie Phelps
Credential
Provider Entity Type
Individual
Gender
Female
Address
1108 Lavaca St, Austin, TX, 78610-3920
Phone Number
512-477-4088
Fax Number
Provider Enumeration Date
07/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1108 Lavaca St
City
Austin
State
Texas
Zip
78701-2172
Phone Number
512-477-4088
Fax Number
person
Provider Business Mailing Address Details
Address
1108 Lavaca St
City
Austin
State
Texas
Zip
78701-2172
Phone Number
512-477-4088
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
1035476 (Texas)
Definition
Definition to come...
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