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Contact Information

LISA R LOSACK, BSN, CNOR, CRNFA
1100 E LAKE ST
SUITE 230
TYLER, TX75701-3343
 Phone: 903-539-0230
 Fax: 903-597-3015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for LISA R LOSACK · (Female)

NPI # 1962580241
Status Active
Credentials BSN, CNOR, CRNFA
Entity Individual
Enumeration date 11/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 613274
  • TX Other 8N8064, 8R5610 752930949, 201844225
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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