| Doctor Name: | MS. LISA LU KIMMEY-WALKER |
| NPI Number: | 1164756128 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CPNP |
| License Number: | 253854 |
| Business Practice Address: | 1002 E Stadium Dr Rosenberg, TX - 774712579 |
| Business Phone Number: | 2817628383 |
| Business Fax Number: | 2817628355 |
| Mailing Address: | 6219 Mcdonald Ct, SUGAR LAND |
| State: | TX |
| Postal Code: | 774795060 |
| Phone Number: | 2815650913 |
| Fax Number: | 2817628355 |
| NPI Enumeration Date: | 09/23/2009 |
| NPI Last Update Date: | 09/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 253854 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |