Individual
LISA ROUGRAFF LACORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3901 W. 15TH STREET, PLANO, TX 75075
(972) 345-2445
(972) 378-6749
Mailing address
1912 HAVERSHAM DRIVE, FLOWER MOUND, TX 75022
(972) 345-2445
(972) 378-6749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
04/07/2017
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