| Doctor Name: | MRS. LISA JOAN WEST |
| NPI Number: | 1528499233 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, FNP-C |
| License Number: | AP123615 |
| Business Practice Address: | 685 7th St Cushing, TX - 757604766 |
| Business Phone Number: | 9363268500 |
| Business Fax Number: | 9363268502 |
| Mailing Address: | Po Box 589, CUSHING |
| State: | TX |
| Postal Code: | 757600589 |
| Phone Number: | 9363268500 |
| Fax Number: | 9363268502 |
| NPI Enumeration Date: | 12/05/2013 |
| NPI Last Update Date: | 07/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP123615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |