Lise Dorrough, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

136152 Issued in TX

Practice address

3249 Cathedral Dr
Grand Prairie, TX 75052-6492

Phone

(214) 793-8937

Fax

(972) 262-8803

NPI assigned

Sep 9, 2011

Last updated

Sep 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1033491691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 CATHEDRAL DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526492",
            "telephone_number": "214-793-8937",
            "fax_number": "972-262-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 CATHEDRAL DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526492",
            "telephone_number": "214-793-8937",
            "fax_number": "972-262-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORROUGH",
        "first_name": "LISE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "136152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tien Loc Mai Doan, D.M.D.
• Walter Albert Dobson, DO
• Jesalyn Dodd
• Kelsey R Dombrowski, DO
• Danielle Shanee Dordies
• Dot Medical and Drug Testing Services, Inc. (DOTMed)
• Double Portion Transportation LLC
• Doniece Michelle Douglas
• Downey Chiropractic
• Patrick Joseph Downey, DC

• Licensed Practical Nurse in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.