Individual
MRS. LISA OXLEY RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
125 COMMONWEALTH DR, GREENVILLE, SC 29615-4812
(864) 655-4000
Mailing address
125 COMMONWEALTH DR, GREENVILLE, SC 29615-4812
(864) 655-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN37
SC
Other
Enumeration date
12/21/2008
Last updated
04/12/2013
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