person
Lisa Diane Witherspoon, FNP
Family Nurse Practitioner in San Antonio, Texas
NPI 1992014450

Lisa Diane Witherspoon is a Family Nurse Practitioner based in San Antonio, TX and is specialized in Family. Lisa Diane Witherspoon practices in San Antonio, TX and has the professional credentials of FNP. The NPI Number for Lisa Diane Witherspoon is 1992014450 and holds a License No. 209010161 (Texas).

The current practice location address for Lisa Diane Witherspoon is 4502 Medical Dr, San Antonio, TX and can be reached out via phone at 210-358-2078 and via fax at 210-702-6274.

Location: 4502 Medical Dr, San Antonio, TX, 78229-4402
person
Provider Profile Details
NPI Number
1992014450
Provider Name
Lisa Diane Witherspoon
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4502 Medical Dr, San Antonio, TX, 78229-4402
Phone Number
210-358-2078
Fax Number
210-702-6274
Provider Enumeration Date
10/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
210-358-2078
Fax Number
210-702-6274
person
Provider Business Mailing Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
210-358-2078
Fax Number
210-702-6274
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
309008440 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
209010161 (Illinois)
Definition
Definition to come...
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