Individual
LISA BETH BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 IRIS LN, LEWISVILLE, TX 75067-4212
(469) 667-9007
Mailing address
1320 IRIS LN, LEWISVILLE, TX 75067-4212
(469) 667-9007
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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