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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA UTTERBACK

Active Sole Proprietor

LISA UTTERBACK is a Peer Specialist healthcare provider located in DEER PARK, Texas. NPI 1326732066 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · DEER PARK, TX

Registration Details

NPI Number
1326732066
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2023 (3.2136899202193 yrs)
Last Updated
Jun 6, 2023
License
1783-0523 (TX)
Sole Proprietor
Yes

Practice Information

Address
4525 GLENWOOD AVE
DEER PARK, TX, 775367901
Browse TX providers · Browse ZIP 77536
Phone
2814760088
Primary Specialty
Peer Specialist
175T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.