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NPI Code Detail

MEDICARE: LISA ROBYN LEE

MEDICARE:   LISA ROBYN LEE
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
1106S00000XBehavior TechnicianRBT-16-27751TX
2103K00000XBehavior Analyst2553TX

General Provider Information

NPI Number : 1003322488
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ROBYN LEE
Provider Business Mailing Address
First Line : 2827 ANTONIO ST
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-5709
Country : US
Telephone Number : 979-595-8442
Fax Number :
Provider Business Practice Location Address
First Line : 2827 ANTONIO ST
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-5709
Country : US
Telephone Number : 979-595-8442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2017
Last Update Date : 01/25/2021

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Directions to “ LISA ROBYN LEE ” Practice Location

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