Individual
LISA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4131 SPICEWOOD SPRINGS ROAD, ST O-2, AUSTIN, TX 78759-7875
(512) 575-3248
Mailing address
7501 JESTER BLVD, AUSTIN, TX 78750-7923
(650) 743-3596
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
PENDING
TX
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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