MEDICARE: LISA LE

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	15690	TX

General Provider Information

NPI Number	:	1780215384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA LE

Provider Business Mailing Address
First Line	:	6948 SEA HARBOR DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-7280
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2580 E ARKANSAS LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-1706
Country	:	US
Telephone Number	:	817-861-2779
Fax Number	:

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

Provider Enumeration Date	:	02/01/2020
Last Update Date	:	02/01/2020

Similar Medicare Providers

1366515892 — KROGER TEXAS L P
Practice Location Address:

2580 E ARKANSAS LN
ARLINGTON, TX
76014-1706

Practice Phone: 817-861-2779
Practice Fax: 817-861-8731

1831729144 — DR. AARON LAN PHAN PHARM.D.
Practice Location Address:

2580 E ARKANSAS LN
ARLINGTON, TX
76014-1706

Practice Phone: 817-861-2779
Practice Fax:

1174154173 — CHRISTY PHAN PHARM D
Practice Location Address:

2580 E ARKANSAS LN
ARLINGTON, TX
76014-1706

Practice Phone: 817-861-2779
Practice Fax: 817-861-8731

1205800265 — JANIE LYNN WHITAKER LCSW
Practice Location Address:

3418 S WAKEFIELD ST
ARLINGTON, VA
22206-1706

Practice Phone: 703-824-0324
Practice Fax:

1992150692 — CAITLIN TALLANT M.D.
Practice Location Address:

USS ARLINGTON (LPD 24)
FPO, AE
09564-1706

Practice Phone: 757-567-1182
Practice Fax:

1811486525 — AGERE FEKADU
Practice Location Address:

1706 N UHLE ST APT 1014
ARLINGTON, VA
22201-3451

Practice Phone: 703-992-3371
Practice Fax:

Directions to “ LISA LE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.