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Lizy Mammoottil
Family Nurse Practitioner in Sunnyvale, Texas
NPI 1548654825

Lizy Mammoottil is a Family Nurse Practitioner based in Sunnyvale, TX and is specialized in Family. Lizy Mammoottil practices in Sunnyvale, TX. The NPI Number for Lizy Mammoottil is 1548654825 and holds a License No. AP127685 (Texas).

The current practice location address for Lizy Mammoottil is 300 Old Mill Rd, Sunnyvale, TX and can be reached out via phone at 972-897-0007.

Location: 300 Old Mill Rd, Sunnyvale, TX, 75182-2633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548654825
Provider Name
Lizy Mammoottil
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Old Mill Rd, Sunnyvale, TX, 75182-2633
Phone Number
972-897-0007
Fax Number
Provider Enumeration Date
03/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Old Mill Rd
City
Sunnyvale
State
Texas
Zip
75182-2633
Phone Number
972-897-0007
Fax Number
person
Provider Business Mailing Address Details
Address
300 Old Mill Rd
City
Sunnyvale
State
Texas
Zip
75182-2633
Phone Number
972-897-0007
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP127685 (Texas)
Definition
Definition to come...
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