Individual
LISA R. RYBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8442
Mailing address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8442
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
146767
MO
367500000X
Certified Registered Nurse Anesthetist
209004767
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918807108
—
MO
Enumeration date
01/11/2006
Last updated
01/11/2017
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