Lisa Michelle Lane, | |
200 E Livingston St, San Augustine, TX 75972-2028 | |
(322) 759-9109 | |
Not Available |
Full Name | Lisa Michelle Lane |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 200 E Livingston St, San Augustine, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366106759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1057387 (Texas) | Primary |
Entity Name | Baylor St Lukes Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863 |
Entity Name | Preferred Hospital Leasing Hemphill, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811256696 PECOS PAC ID: 1759467111 Enrollment ID: O20090106000543 |
Mailing Address | Practice Location Address |
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Lisa Michelle Lane, 200 E Livingston St, San Augustine, TX 75972-2028 Ph: (322) 759-9109 | Lisa Michelle Lane, 200 E Livingston St, San Augustine, TX 75972-2028 Ph: (322) 759-9109 |
Mrs. Kelly Jackson, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 W Columbia St, San Augustine, TX 75972 Phone: 936-275-2940 Fax: 936-275-2954 | |
Chivas Paul Guillote, APRN, FNP, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 511 Hospital Street, Emergency Department, San Augustine, TX 75972 Phone: 936-275-3446 | |
Sharon Kay Oglesbee, RN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 E Hospital St, San Augustine, TX 75972 Phone: 936-275-9716 Fax: 936-275-9059 | |
Christina Watson, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 606 W Columbia St, San Augustine, TX 75972 Phone: 936-275-2940 Fax: 936-275-2954 | |
Mrs. Stacie L Edwards, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 504 E. Hospital Street, San Augustine, TX 75972 Phone: 936-275-9716 |