Individual provider · Type 1 NPI
Lisa Truong, CPNP-PC
Pediatric Nurse Practitioner · Fort Worth, TX
NPI number
1356684591
Active
Practice location
1500 Cooper St
Fort Worth, TX 76104-2710
Fax (682) 885-1327
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 744111 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1356684591
Lisa Truong, CPNP-PC's National Provider Identifier is 1356684591, issued on Apr 5, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 22, 2021.