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MRS. LISA LEANN EMMENDORFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
705 LANDA ST, SITE C, NEW BRAUNFELS, TX 78130-6172
(830) 643-0717
(830) 629-2438
Mailing address
1762 E COMMON ST, NEW BRAUNFELS, TX 78130-6059
(830) 730-8580
(830) 321-1021

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004964
NC
363LA2200X
Adult Health Nurse Practitioner
AP121779
TX

Other

Enumeration date
11/02/2010
Last updated
02/02/2023
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