Individual
LISA KOTT-HARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1308 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624-5058
(830) 997-2181
(830) 997-4453
Mailing address
1308 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624-5058
(830) 997-2181
(830) 997-4453
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP128417
TX
363LF0000X
Family Nurse Practitioner
AP128417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357537504
—
TX
Enumeration date
07/02/2015
Last updated
10/27/2020
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