Individual
ELISSA KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4607 65TH ST, LUBBOCK, TX 79414-4833
(512) 818-5475
Mailing address
4607 65TH ST, LUBBOCK, TX 79414-4833
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1214198
TX
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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