Lisa Michelle Lane
NPI #1366106759 in San Augustine, Texas
Provider Information
- NPI Number
- 1366106759
- Entity Type
- Individual
- Name
- Lisa Michelle Lane
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 22, 2021
- Last Updated
- Sep 4, 2022
Practice Location
- Address
- 200 E LIVINGSTON ST
- City
- San Augustine
- State
- Texas
- ZIP Code
- 75972-2028
- Phone
- (322) 759-9109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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