Individual
LANCE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
7940 SHOAL CREEK BLVD STE 205, AUSTIN, TX 78757-8059
(512) 454-8378
Mailing address
2904 BARTON SKWY APT 303, AUSTIN, TX 78746-7523
(830) 928-4133
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1047604
TX
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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