Individual
LISA DIANE WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(888) 731-8994
Mailing address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP115458
TX
363LW0102X
Women's Health Nurse Practitioner
209010161
IL
363LW0102X
Women's Health Nurse Practitioner
309008440
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
AP115458
TX
Other
Enumeration date
10/01/2010
Last updated
04/22/2026
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