Individual provider · Type 1 NPI
Lisa Laraine South, NP
Gerontology Nurse Practitioner · Houston, TX
NPI number
1275307472
Active
Practice location
6720 Bertner Ave
Houston, TX 77030-2604
Mailing address
9373 N Walker Rd
Cleveland, TX 77328-5835
Other practice locations
- 180 W Esplanade Ave, Kenner, LA 70065-2467 · (504) 464-8506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1134088 (TX) |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 1134088 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1275307472
Lisa Laraine South, NP's National Provider Identifier is 1275307472, issued on Nov 8, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Houston, TX. The record was last updated on Nov 14, 2025.