Individual
MRS. LISA M MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6701 AIRPORT BLVD, SUITE 430, MOBILE, AL 36608-6705
(251) 631-3270
Mailing address
9630 POLO PLACE CT, MOBILE, AL 36695-7702
(251) 259-2020
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9227957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G3880
BCBS
FL
Enumeration date
05/23/2006
Last updated
02/26/2008
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