Lisa Rachael Griffin
Licensed Practical Nurse in Brady, TX. Individual provider (NPI-1).
NPI number1265057764
StatusActive
Last updated in NPPESJun 10, 2020
Details
- NPI
- 1265057764
- Entity type
- Individual (NPI-1)
- Name
- Lisa Rachael Griffin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2020
- Certification date
- Jun 10, 2020
- Last updated
- Jun 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 178591 | TX | Yes |
Practice location
804 Laurel DrBrady, TX 76825-5315
Phone 325-240-8427
Mailing address
804 Laurel DrBrady, TX 76825-5315
Phone 325-240-8427
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