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Individual

LISA A. FUSON

Active
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Individual

LISA A. FUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ANP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP114108
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP114108
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
176370801
TX
01
8N8792
BCBS
TX
01
P00774898
RR MEDICARE
TX
Enumeration date
10/06/2006
Last updated
05/14/2024
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