Individual
LISA TRUBENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4616 US HWY 75 STE 203, DENISON, TX 75020-4582
(903) 462-6310
Mailing address
4616 US HWY 75 STE 203, DENISON, TX 75020-4582
(903) 462-6310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F01210272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F01210272
NURSE PRACTITIONER
TX
Enumeration date
01/06/2021
Last updated
01/06/2021
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