MEDICARE: LISA TURNER

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
1	174400000X	Specialist		NY
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1285073551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA TURNER

Provider Business Mailing Address
First Line	:	1 CHISHOLM TRAIL RD STE 150
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5090
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CHISHOLM TRAIL RD STE 150
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5090
Country	:	US
Telephone Number	:	561-323-6582
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	04/22/2024

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Directions to “ LISA TURNER ” Practice Location

Language	Start Address	Practice Location

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