Individual
LISA DAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1314 FALCON LEDGE DRIVE #113, AUSTIN, TX 78746
(512) 592-9909
Mailing address
1314 FALCON LEDGE DR APT 113, AUSTIN, TX 78746-5125
(512) 592-9909
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02174
TX
Other
Enumeration date
04/21/2006
Last updated
05/05/2014
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