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Individual

MS. LISA MARIE SCHAUBROECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
219 OAK DR S STE A, LAKE JACKSON, TX 77566-5675
(979) 297-4033
Mailing address
6931 COUNTY ROAD 289, SWEENY, TX 77480-4036
(979) 647-4820

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP125646
TX
363LG0600X
Gerontology Nurse Practitioner
AP125646
TX

Other

Enumeration date
06/04/2014
Last updated
01/10/2026
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