Provider Demographics
NPI:1831688217
Name:LEMUS CARRILES, LISANDRA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:LISANDRA
Middle Name:
Last Name:LEMUS CARRILES
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11821 EAST FWY # 210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-1975
Mailing Address - Country:US
Mailing Address - Phone:832-460-2190
Mailing Address - Fax:
Practice Address - Street 1:11821 EAST FWY # 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1975
Practice Address - Country:US
Practice Address - Phone:832-460-2190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX921955163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse