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VISI MARCO LAWONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
16850 BUCCANEER LN, HOUSTON, TX 77058-2507
(833) 971-2356
Mailing address
430 AMBERWOOD PARK DR, KATY, TX 77493-4746
(216) 801-7195

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1088705
TX

Other

Enumeration date
12/16/2022
Last updated
12/16/2022
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