Lisa Lane

NPI 1366106759 · on the registry since 2021

Practice

Address: 200 E Livingston St
San Augustine, TX 75972
Phone: (322) 759-9109
Organisation at this address: San Augustine Family Practice Pa
Memorial Medical Center-San Augustine
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Additional practice sites

104 N Beech St, Woodville, TX

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-09-04

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