Provider Demographics
NPI:1427383736
Name:ZIEGENFUSS, LISA KAY (RN, MSN, FNP)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:KAY
Last Name:ZIEGENFUSS
Suffix:
Gender:F
Credentials:RN, MSN, FNP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 835
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79408-0835
Mailing Address - Country:US
Mailing Address - Phone:806-743-2820
Mailing Address - Fax:806-743-4250
Practice Address - Street 1:3601 4TH ST
Practice Address - Street 2:STOP 8103
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-8103
Practice Address - Country:US
Practice Address - Phone:806-743-2820
Practice Address - Fax:806-743-4250
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX597661363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily