NPI
Lisa Michelle Lane
NPI 1366106759
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2021-10-22
- Last updated
- 2022-09-04
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Specialties
Licenses
- License TX
- 1057387
Location
- Practice location
- 200 E Livingston St
- City
- San Augustine TX
- Postal code
- 75972-2028
- Phone
- (322) 759-9109
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in San Augustine, TX. 69 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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