Individual
LISA MARIE CLEVELAND
Active
Individual
LISA MARIE CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
663765
TX
363LF0000X
Family Nurse Practitioner
AP109719
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP109719
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376046401
—
TX
01
—
376046402
CSHCN
TX
Enumeration date
03/25/2010
Last updated
06/08/2026
Update your record
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