Individual
MRS. LISA MARIE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3100 AVE E, HONDO, TX 78861
(830) 426-7700
(830) 426-7860
Mailing address
675 HWY 90 E, HONDO, TX 78861
(812) 212-3074
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
PA04698
TX
363AM0700X
Medical Physician Assistant
Primary
10000200A
IN
Other
Enumeration date
07/16/2006
Last updated
12/04/2009
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