Lisa Marie Wray is a Family in Lubbock, Texas. Lisa Marie Wray practices all healthcare services and medical treatments related to Family. The NPI Number for Lisa Marie Wray is 1568646925. The last update date is 2008-10-13.
Lisa Marie Wray's current location address is 4642 N Loop 289, Lubbock, Texas. You can contact this provider via phone number 8067957762 and fax number 8067967168. The mailing address for Lisa Marie Wray is 4642 N Loop 289, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Wray |
|---|---|
| Address | 4642 N Loop 289, Lubbock, Texas |
| Phone Number | 8067957762 |
| Fax Number | 8067967168 |
| Sole Proprietor | N |
| Credentials | RN, FNP-C |
NPI Number Detail
| NPI Number | 1568646925 |
|---|---|
| Provider Enumeration Date | 2007-12-20 |
| Last Updated Date | 2008-10-13 |
Provider Mailing Address Detail
| Address | 4642 N Loop 289 |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794162409 |
| Phone Number | 8067957762 |
| Fax Number | 8067967168 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 605906 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 160387100 | TX | FIRSTCARE | |
| 8Y3502 | TX | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa Marie Wray by the Centers for Medicare & Medicaid Services?
The Lisa Marie Wray has been assigned the NPI (National Provider Identifier) 1568646925 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Lisa Marie Wray is physically located?
The Lisa Marie Wray is physically situated at the following address: 4642 N Loop 289, Lubbock, TX, 794162409.
What is Lisa Marie Wray's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Marie Wray's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
When did Lisa Marie Wray receive its 1568646925 assignment?
The Lisa Marie Wray was assigned its 1568646925 on 2007-12-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Lisa Marie Wray, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lisa Marie Wray, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-10-13.