Provider Demographics
NPI:1720255169
Name:LE, LISA TRANG (OD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:TRANG
Last Name:LE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:10972 WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3204
Mailing Address - Country:US
Mailing Address - Phone:713-266-5842
Mailing Address - Fax:713-782-0316
Practice Address - Street 1:10972 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3204
Practice Address - Country:US
Practice Address - Phone:713-266-5842
Practice Address - Fax:713-782-0316
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4993TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81916QOtherBLUECROSS BLUESHIELD
TX1090735OtherCIGNA
TX5008734OtherAETNA