Lisara Diagnostics

NPI 1215947635 - Specialist - 174400000X

NPI Details
NPI 1215947635
Enumeration Date 08/08/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LISA ANN LISA
Position OWNER
Phone (210) 614-3003
Fax (210) 692-7898
Practice Location
7220 LOUIS PASTEUR DR STE 160
STE 160
SAN ANTONIO TX, 78229-4535, US
Phone (210) 614-3003
Fax (210) 692-7898
Business Location
4319 MEDICAL DR # 131-113
SAN ANTONIO TX, 78229-3381, US
Phone (210) 614-3003
Fax (210) 692-7898
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number L2885
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According to our database, Lisara Diagnostics NPI is 1215947635, taxonomy code is 174400000X and license number is L2885, license state is located at Texas. Lisara Diagnostics physically located at 7220 Louis Pasteur Dr Ste 160, San Antonio TX, 78229-4535. NPI Number 1033115704 has the healthcare provider type.

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1215947635 NPI number is provided on an as is basis without warranty of any kind. 1215947635 is maintained by the National Plan & Provider Enumeration System. The contents of Lisara Diagnostics are for informational purposes only.