Most Relevant Information
Provider Data
| NPI Number: | 1003370479 |
| Provider Name: | LISA RODRIGUEZ LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 347084 |
Most Important Dates
| Enumeration Date: | 01/30/2019 |
| Last Updated: | 01/30/2019 |
Provider Practice Location
115 CEDRON CHASE
SAN ANTONIO
TX
782535254
Practice Location Phone/Fax
| Phone: | 4093511938 |
| Fax: |
Provider Mailing Location
115 CEDRON CHASE
SAN ANTONIO
TX
782535254
Provider Mailing Phone/Fax
| Phone: | 4093511938 |
| Fax: |