Provider Demographics
NPI:1538693585
Name:STRIMPEL, LISA (SA-C)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:STRIMPEL
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 RIDGE RD # 101
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-4244
Mailing Address - Country:US
Mailing Address - Phone:972-470-1000
Mailing Address - Fax:
Practice Address - Street 1:1407 RIDGE RD # 101
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4244
Practice Address - Country:US
Practice Address - Phone:972-470-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17-249246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant