Provider Demographics
NPI:1821627464
Name:SESSION, LISA ELLEN
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ELLEN
Last Name:SESSION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 HONEY ST
Mailing Address - Street 2:
Mailing Address - City:RUSK
Mailing Address - State:TX
Mailing Address - Zip Code:75785-2801
Mailing Address - Country:US
Mailing Address - Phone:903-683-4128
Mailing Address - Fax:
Practice Address - Street 1:142 HONEY ST
Practice Address - Street 2:
Practice Address - City:RUSK
Practice Address - State:TX
Practice Address - Zip Code:75785-2801
Practice Address - Country:US
Practice Address - Phone:903-683-4128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX154800164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse