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General NPI Number Information
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NPI Number | 1801975230
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Entity Type | Individual
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Provider Name | LISA GUILFORD FOYTIK MSN, GNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/05/2006
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 610 N LOOP 336 E
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City | CONROE
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State | TX
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Zip | 77301-1437
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Country | US
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Telephone | 281-816-7333
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Fax | 346-998-1442
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Provider Business Mailing Address
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Address Line | 610 N LOOP 336 E
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City | CONROE
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State | TX
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Zip | 77301-1437
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Country | US
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Telephone | 281-816-7333
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Fax | 346-998-1442
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP115047
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 64129
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License Number State | TX
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