Provider Demographics
NPI:1720255169
Name:LE, LISA TRANG (OD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:TRANG
Last Name:LE
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:13425 UNIVERSITY BLVD STE 800
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3700
Mailing Address - Country:US
Mailing Address - Phone:281-240-9668
Mailing Address - Fax:281-277-0064
Practice Address - Street 1:13425 UNIVERSITY BLVD STE 800
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3700
Practice Address - Country:US
Practice Address - Phone:281-240-9668
Practice Address - Fax:281-277-0064
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4993TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81916QOtherBLUECROSS BLUESHIELD
TX5008734OtherAETNA
TX1090735OtherCIGNA