Individual
MR. LUCAS ALAN ISENHOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
755 N 11TH ST STE P2200, BEAUMONT, TX 77702-1513
(409) 892-1192
Mailing address
755 N 11TH ST STE P2200, BEAUMONT, TX 77702-1513
(409) 651-9956
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1072470
TX
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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