Provider Demographics
NPI:1255591954
Name:REDMAN, LISA ANN (AUD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANN
Last Name:REDMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 LAUREN LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1861
Mailing Address - Country:US
Mailing Address - Phone:972-240-2588
Mailing Address - Fax:214-826-3681
Practice Address - Street 1:411 N WASHINGTON AVE
Practice Address - Street 2:SUITE 2800
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1713
Practice Address - Country:US
Practice Address - Phone:214-826-3681
Practice Address - Fax:214-826-7277
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51016237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter