Individual provider · Type 1 NPI

Lysianne Pham Dube, FNP-C

Primary Care Nurse Practitioner · Mansfield, TX

NPI number 1699263269 Active

Practice location

2201 Heritage Pkwy Ste 111
Mansfield, TX 76063-5628

Call (817) 472-7700 Map

Mailing address

1305 Blanco Trl
Mansfield, TX 76063-1856

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X95008968 (CA)

Primary Care Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1699263269

Lysianne Pham Dube, FNP-C's National Provider Identifier is 1699263269, issued on Apr 28, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Mansfield, TX. The record was last updated on Sep 11, 2025.