Lisa Bagen
NPI #1508536764 in Richardson, Texas
Provider Information
- NPI Number
- 1508536764
- Entity Type
- Individual
- Name
- Lisa Bagen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist
- Enumeration Date
- Sep 17, 2021
- Last Updated
- Sep 17, 2021
Practice Location
- Address
- 110 W CITYLINE DR APT 5037
- City
- Richardson
- State
- Texas
- ZIP Code
- 75082-3290
- Phone
- (972) 322-4080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist |
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