Provider Demographics
NPI:1114197092
Name:STROHL, LISA KAY (MSN, FNP)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:KAY
Last Name:STROHL
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:KAY
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP
Mailing Address - Street 1:4502 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4402
Mailing Address - Country:US
Mailing Address - Phone:210-358-2078
Mailing Address - Fax:423-439-4060
Practice Address - Street 1:4502 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4402
Practice Address - Country:US
Practice Address - Phone:210-358-2078
Practice Address - Fax:423-439-4060
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000010426363LF0000X
TX1108050363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1503096Medicaid
34999261Medicare Oscar/Certification
34999261Medicare PIN