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NPI Code Detail

MEDICARE: LISA MICHELLE BARR RN, CFNP

MEDICARE: LISA MICHELLE BARR RN, CFNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP118013TX

General Provider Information

NPI Number : 1649409152
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MICHELLE BARR RN, CFNP
Provider Business Mailing Address
First Line : 205 E UNIVERSITY AVE
Second Line :
City : GEORGETOWN
State : TX
Zip : 78626-6814
Country : US
Telephone Number : 512-868-1124
Fax Number : 512-868-9894
Provider Business Practice Location Address
First Line : 605 OLD AUSTIN HWY
Second Line :
City : BASTROP
State : TX
Zip : 78602-5034
Country : US
Telephone Number : 877-800-5722
Fax Number : 512-332-2180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2009
Last Update Date : 06/16/2026

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