Provider Demographics
NPI:1699877530
Name:FRANK, LESSIE (LVN)
Entity type:Individual
Prefix:
First Name:LESSIE
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3067
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77305
Mailing Address - Country:US
Mailing Address - Phone:936-756-8331
Mailing Address - Fax:936-760-2898
Practice Address - Street 1:612 HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:TX
Practice Address - Zip Code:77575
Practice Address - Country:US
Practice Address - Phone:936-756-8331
Practice Address - Fax:936-760-2898
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX064780164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse