| Organization Name: | LISA M. JUKES, MD, PA |
| NPI Number: | 1073739090 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA MARGARET JUKES (OWNER, PHYSICIAN) |
| Mailing Address: | 5656 Bee Cave Rd Suite B101 West Lake Hills |
| State: | TX US |
| Postal Code: | 787465280 |
| Phone Number: | 5123016767 |
| Fax Number: | 5123016776 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 05/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | K6767 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |