Provider Demographics
NPI:1972045987
Name:GIANNOTTI STRATTON, LIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:LIA
Middle Name:
Last Name:GIANNOTTI STRATTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LIA
Other - Middle Name:
Other - Last Name:GIANNOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 WESTLAKE DR
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5394
Mailing Address - Country:US
Mailing Address - Phone:512-327-7779
Mailing Address - Fax:512-444-0977
Practice Address - Street 1:102 WESTLAKE DR STE 100
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5373
Practice Address - Country:US
Practice Address - Phone:512-327-7779
Practice Address - Fax:512-444-0977
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132492363LF0000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily