Persyn, Lisa Diane

Persyn, Lisa Diane is an individual health care provider with primary practice located at 12180 N Mopac Expy , Austin TX 78758-2909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Persyn, Lisa Diane can be contacted via phone (512) 836-8800.

Contact Information

Primary practice address
12180 N Mopac Expy Austin TX 78758-2909
Phone: (512) 836-8800
Fax: (512) 836-8801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X L3778 Texas

Profile Details

NPI number 1619935616
LBN Legal business name Persyn, Lisa Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Mar 24th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619935616 NPPES
Texas Other 8K2535 BLUE CROSS BLUE SHIELD
Texas MEDICAID 177678301 BLUE CROSS BLUE SHIELD

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