Individual
LISSA FLORY MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP BC
Contact information
Practice address
3506 21ST ST STE 400, LUBBOCK, TX 79410-1200
(806) 725-4115
Mailing address
4679 DREIBRODT RD, SAN MARCOS, TX 78666-3388
(915) 261-3892
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1010313
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1010313
TX
Other
Enumeration date
10/16/2020
Last updated
03/17/2025
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