Individual
MRS. LERA SUSAN KASSEROLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1000
Mailing address
7777 E BOARDWALK, LUMBERTON, TX 77657-4901
(409) 719-3700
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
532657
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP113576
TX
Other
Enumeration date
06/15/2006
Last updated
03/13/2015
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