| NPI Details | |
|---|---|
| NPI | 1760808612 |
| Gender | Female |
| Enumeration Date | 03/14/2014 |
| Last Updated | 03/14/2014 |
| Entity Type | Individual |
| Active | Over 3 years ago |
| Practice Location | |
|---|---|
| 100 E FERGUSON ST SUITE 1204 TYLER TX, 75702-5759, US |
|
| Phone | (902) 509-2040 |
| Fax | (903) 534-5873 |
| Business Location | |
|---|---|
| 100 E FERGUSON ST SUITE 1204 TYLER TX, 75702-5759, US |
|
| Phone | (902) 509-2040 |
| Fax | (903) 534-5873 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2251P0200X |
| License State | Texas |
| License Number | 1172963 |
| Remove 1760808612 NPI Number | |
According to our database, Lisa Chance PT NPI is 1760808612, taxonomy code is 2251P0200X and license number is 1172963, license state is located at Texas. Lisa Chance PT physically located at 100 E Ferguson St, Tyler TX, 75702-5759. NPI Number Lisa Chance PT has the Individual type.
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1760808612 NPI number is provided on an as is basis without warranty of any kind. 1760808612 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Chance PT are for informational purposes only.
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