Dube, Lysianne Pham
Dube, Lysianne Pham is an individual health care provider with primary practice located at 2201 Heritage Pkwy Ste 111 , Mansfield TX 76063-5628. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Dube, Lysianne Pham can be contacted via phone (817) 472-7700.Contact Information
Primary practice address
2201 Heritage Pkwy Ste 111
Mansfield TX 76063-5628
Phone: (817) 472-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95008968 | California |
Profile Details
| NPI number | 1699263269 |
|---|---|
| LBN Legal business name | Dube, Lysianne Pham |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2018 |
| Last updated | Jan 30th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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