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Organization
MESOBELLA
Active
Organization
MESOBELLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA LANZA RN,WOCN,MSN,FNP (OWNER)
(817) 291-5780
Entity
Organization
Contact information
Practice address
731 E SOUTHLAKE BLVD # 180, SOUTHLAKE, TX 76092-6377
(817) 251-6376
Mailing address
731 E SOUTHLAKE BLVD # 180, SOUTHLAKE, TX 76092-6377
(817) 251-6376
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
583243
TX
Other
Enumeration date
11/28/2006
Last updated
01/06/2009
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