NPI age
21 years
Enumerated 2005-05-30
● Active
Type 1 · Individual
Lisa Carrie Archambault Mallon, CRNA
Mallon is 1 of 199 nurse anesthetist, certified registered providers in Temple and 1 of 6676 in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
21 years
↑ 8 yr above median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-05Enumerated in NPPES
2005
2026
Where they practice
Practice location
2401 S 31st St
Temple, TX 765089210
Mailing address
Po Box 844658
Dallas, TX 752844658
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 173701702 | |
| 01 (TX) | 86412U | BCBSTX |
Practice context
Part of a multi-provider practice. 1981 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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