Individual
LISA ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4099 MCEWEN RD STE 250, FARMERS BRANCH, TX 75244-5030
(972) 204-5092
Mailing address
2609 VALENCIA LN, DENTON, TX 76210-2974
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
822278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08618832
TXDL
—
Enumeration date
06/02/2020
Last updated
06/02/2020
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