Individual
MRS. LAURA GRACIELA LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
11880 VISTA DEL SOL DR STE B, EL PASO, TX 79936-6128
(915) 777-3151
(915) 855-6111
Mailing address
PO BOX 961783, EL PASO, TX 79996-1783
(915) 777-3151
(915) 855-6111
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP136410
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409916001
—
TX
Enumeration date
03/07/2018
Last updated
04/20/2026
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