NPI 1619507423

Lisa McGillvary Elkin

Practitioner Driver Plano, TX

Practice location

Address: 5916 Fossil Ridge Dr, Plano, TX 75093-7734
Phone: (972) 904-2593

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 25103838 (TX)

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Registry record

NPI: 1619507423
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2020
Record last updated: 21 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.