Individual
LISA OLFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2003 GOLDFINCH LN, WYLIE, TX 75098-1740
(972) 983-8468
Mailing address
2003 GOLDFINCH LN, WYLIE, TX 75098-1740
(972) 983-8468
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1170663
TX
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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