Provider Demographics
NPI:1528291820
Name:LEHOUX, LISE ELLEN (OTR)
Entity type:Individual
Prefix:
First Name:LISE
Middle Name:ELLEN
Last Name:LEHOUX
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:LISE
Other - Middle Name:ELLEN
Other - Last Name:CARMONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:3301 N K CTR APT C201
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1536
Mailing Address - Country:US
Mailing Address - Phone:713-775-7723
Mailing Address - Fax:
Practice Address - Street 1:306 S BRYAN RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6222
Practice Address - Country:US
Practice Address - Phone:956-585-3333
Practice Address - Fax:956-585-3441
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112674225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist