Individual
LISA LANELL SUMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
3000 PIONEER WAY, ROUND ROCK, TX 78665-2512
(512) 733-2836
Mailing address
3000 PIONEER WAY, ROUND ROCK, TX 78665-2512
(512) 733-2836
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
697451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191903701
—
TX
Enumeration date
01/21/2008
Last updated
12/31/2010
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