Individual
LISA MICHELLE SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1516 LOMALAND DR, EL PASO, TX 79935-4202
(915) 593-2600
(915) 298-3998
Mailing address
1516 LOMALAND DR, EL PASO, TX 79935-4202
(915) 593-2600
(915) 298-3998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1018714
TX
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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