Provider Demographics
NPI:1225226970
Name:LEMOND, BETTY LOU (FAMILY NURSE PRACTIT)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:LOU
Last Name:LEMOND
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:MS
Other - First Name:BETTY
Other - Middle Name:LOU
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:2124 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-5704
Mailing Address - Country:US
Mailing Address - Phone:325-733-4075
Mailing Address - Fax:
Practice Address - Street 1:801 N TARRANT PKWY
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-6860
Practice Address - Country:US
Practice Address - Phone:817-428-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX525964363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily