Individual
LENAE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
3950 N A W GRIMES BLVD # N202, ROUND ROCK, TX 78665-3540
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
(512) 686-0207
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP143337
TX
Other
Enumeration date
10/03/2019
Last updated
02/24/2021
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