Individual
LISA A ULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4100
(252) 948-4829
Mailing address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4100
(252) 948-4829
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
043836
NC
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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