Individual
LISA DENISE PALLASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 W 15TH ST STE 1025, PLANO, TX 75075-7253
(972) 673-0404
(972) 673-0420
Mailing address
1255 W 15TH ST STE 1025, PLANO, TX 75075-7253
(972) 673-0404
(972) 673-0420
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
112066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112066
—
TX
Enumeration date
08/10/2018
Last updated
08/10/2018
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