Maehara, Lisa Mariko

Maehara, Lisa Mariko is an individual health care provider with primary practice located at 3055 W Southlake Blvd Ste 100 , Southlake TX 76092-6730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maehara, Lisa Mariko can be contacted via phone (682) 593-7639.

Contact Information

Primary practice address
3055 W Southlake Blvd Ste 100 Southlake TX 76092-6730
Phone: (682) 593-7639
Fax: (682) 593-0739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X T4420 Texas

Profile Details

NPI number 1760833644
LBN Legal business name Maehara, Lisa Mariko
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2016
Last updated Nov 22nd, 2022 - about 4 years 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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