Theresa Rae Lisenby RN,CEO, INSTRUCTOR

NPI 1073790358 - Specialist - 174400000X

NPI Details
NPI 1073790358
Gender Female
Enumeration Date 01/29/2008
Last Updated 01/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
7471 FM 3094
SCURRY TX, 75158-4915, US
Phone (972) 452-3337
Fax (972) 452-3331
Business Location
7471 FM 3094
SCURRY TX, 75158-4915, US
Phone (972) 452-3337
Fax (972) 452-3331
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Mrs. Theresa Rae Lisenby RN,CEO, INSTRUCTOR NPI is 1073790358, taxonomy code is 174400000X Theresa Rae Lisenby RN,CEO, INSTRUCTOR physically located at 7471 Fm 3094, Scurry TX, 75158-4915. NPI Number Theresa Rae Lisenby RN,CEO, INSTRUCTOR has the Individual type.

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1073790358 NPI number is provided on an as is basis without warranty of any kind. 1073790358 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Rae Lisenby RN,CEO, INSTRUCTOR are for informational purposes only.