Individual
LISA A TOMPA
Active
Individual
LISA A TOMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28136623
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200279270
—
IN
Enumeration date
08/10/2005
Last updated
10/24/2018
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