Lisandro Ariel Gutierrz
Licensed Vocational Nurse in Waco, TX. Individual provider (NPI-1).
NPI number1982104980
StatusActive
Last updated in NPPESFeb 15, 2018
Details
- NPI
- 1982104980
- Entity type
- Individual (NPI-1)
- Name
- Lisandro Ariel Gutierrz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2018
- Last updated
- Feb 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 307541 | TX | Yes |
Practice location
2104 Jane StWaco, TX 76711-2012
Phone 254-424-7392
Mailing address
2104 Jane StWaco, TX 76711-2012
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