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Individual
LISA G. SIMMONS
Active
Individual
LISA G. SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
534723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018883102
—
TX
05
—
018883103
—
TX
05
—
018883104
—
TX
01
—
8Y5412
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/19/2006
Last updated
11/24/2008
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