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Ms. Lysianne Pham Dube, FNP-C
Primary Care Nurse Practitioner in Mansfield, Texas
NPI 1699263269

Lysianne Pham Dube is a Primary Care Nurse Practitioner based in Mansfield, TX and is specialized in Primary Care. Lysianne Pham Dube practices in Mansfield, TX and has the professional credentials of FNP-C. The NPI Number for Lysianne Pham Dube is 1699263269 and holds a License No. 95008968 (Texas).

The current practice location address for Lysianne Pham Dube is 2201 Heritage Pkwy Ste 111, Mansfield, TX and can be reached out via phone at 817-472-7700.

Location: 2201 Heritage Pkwy Ste 111, Mansfield, TX, 76063-1856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699263269
Provider Name
Lysianne Pham Dube
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2201 Heritage Pkwy Ste 111, Mansfield, TX, 76063-1856
Phone Number
817-472-7700
Fax Number
Provider Enumeration Date
04/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2201 Heritage Pkwy Ste 111
City
Mansfield
State
Texas
Zip
76063-5628
Phone Number
817-472-7700
Fax Number
person
Provider Business Mailing Address Details
Address
2201 Heritage Pkwy Ste 111
City
Mansfield
State
Texas
Zip
76063-5628
Phone Number
817-472-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95008968 (California)
Definition
Definition to come...
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