Provider Demographics
NPI:1952051112
Name:CARLISLE, LORENA TSCHEN (RN)
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:TSCHEN
Last Name:CARLISLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2733 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3107
Mailing Address - Country:US
Mailing Address - Phone:713-201-2090
Mailing Address - Fax:
Practice Address - Street 1:6909 GREENBRIAR DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3205
Practice Address - Country:US
Practice Address - Phone:713-660-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX719405207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine