Basic Information
| Provider Information | |||||||||
| NPI: | 1427383736 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZIEGENFUSS | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | KAY | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN, M.S.N, F.N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 835 | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794080835 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067432820 | ||||||||
| FaxNumber: | 8067434250 | ||||||||
| Practice Location | |||||||||
| Address1: | 3601 4TH ST | ||||||||
| Address2: | STOP 8103 | ||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794308103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067432820 | ||||||||
| FaxNumber: | 8067434250 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2009 | ||||||||
| LastUpdateDate: | 12/21/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 597661 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.