Individual
LISA DANIELLE ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1743 FARM ROAD 1735, MOUNT PLEASANT, TX 75455-8397
(903) 285-4682
Mailing address
1743 FARM ROAD 1735, MOUNT PLEASANT, TX 75455-8397
(903) 285-4682
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
173998
TX
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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