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NPI Code Detail

MEDICARE: LISA D'ANN JEFFERSON NORMAN LMFT

MEDICARE: LISA D'ANN JEFFERSON NORMAN LMFT
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
1106H00000XMarriage & Family Therapist206432TX

General Provider Information

NPI Number : 1942137062
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA D'ANN JEFFERSON NORMAN LMFT
Provider Business Mailing Address
First Line : 1701 CASTLE ROCK DR
Second Line :
City : LEWISVILLE
State : TX
Zip : 75077-2469
Country : US
Telephone Number : 214-235-8741
Fax Number :
Provider Business Practice Location Address
First Line : 3910 W INTERSTATE 20 STE 100
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-1430
Country : US
Telephone Number : 214-235-8741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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