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Lisa Pegram

NPI 1316824782 · on the registry since 2025 · sole proprietor

Practice

Address
3323 Brooks Ln
Tyler, TX 75701
Phone
(936) 676-0392

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas