Lisara Diagnostics

Primary specialty

SpecialistTaxonomy code 174400000X

License

L2885 Issued in TX

Legal business name

LISARA DIAGNOSTICS

Practice address

7220 Louis Pasteur Dr Ste 160
Ste 160
San Antonio, TX 78229-4535

Phone

(210) 614-3003

Fax

(210) 692-7898

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Ann Quintanilla

Title

Owner

Phone

(210) 614-3003

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215947635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 MEDICAL DR # 131-113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293381",
            "telephone_number": "210-614-3003",
            "fax_number": "210-692-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR DR STE 160",
            "address_2": "STE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294535",
            "telephone_number": "210-614-3003",
            "fax_number": "210-692-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISARA DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINTANILLA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-614-3003",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L2885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID NUMBER",
            "identifier": "3553429",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan F Lira, LPC
• Kelsey Kaye Lira
• Lindsey Rejoice Lira
• Megan Lira, BCBA
• Lisa a. Davis, M.D., P.a.
• Lisara Rehab Center
• Susan Scott Lisee, LCSW
• Jannell Lising, MD
• Listen in Therapy PLLC
• Dmitry V Listengarten, MD

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.