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Ms. Lisa Victoria Blackwelder, RN
Pediatric Registered Nurse in Cedar Park, Texas
NPI 1386109528

Lisa Victoria Blackwelder is a Pediatric Registered Nurse based in Cedar Park, TX and is specialized in Pediatrics. Lisa Victoria Blackwelder practices in Cedar Park, TX and has the professional credentials of RN. The NPI Number for Lisa Victoria Blackwelder is 1386109528 and holds a License No. 593651 (Texas).

The current practice location address for Lisa Victoria Blackwelder is 924 Audra St, Cedar Park, TX and can be reached out via phone at 512-426-8589.

Location: 924 Audra St, Cedar Park, TX, 78613-7102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386109528
Provider Name
Lisa Victoria Blackwelder
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
924 Audra St, Cedar Park, TX, 78613-7102
Phone Number
512-426-8589
Fax Number
Provider Enumeration Date
02/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
924 Audra St
City
Cedar Park
State
Texas
Zip
78613-7102
Phone Number
512-426-8589
Fax Number
person
Provider Business Mailing Address Details
Address
924 Audra St
City
Cedar Park
State
Texas
Zip
78613-7102
Phone Number
512-426-8589
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
593651 (Texas)
Definition
Definition to come...
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