Provider Demographics
NPI:1952590689
Name:HASTINGS, LISA K (DC,)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:K
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:DC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 SOUTH 1ST ST.
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704
Mailing Address - Country:US
Mailing Address - Phone:512-416-7700
Mailing Address - Fax:512-697-0069
Practice Address - Street 1:2001 SOUTH 1ST ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704
Practice Address - Country:US
Practice Address - Phone:512-416-7700
Practice Address - Fax:512-697-0069
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F7368OtherPTAN