Individual
LISA A. CHICHERICCO-SLOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1613 HARRISON PKWY, STE 200, SUNRISE, FL 33323-2896
(800) 437-2672
Mailing address
11368 SW MOUNTAIN ASH CIR, PORT ST LUCIE, FL 34987-2460
(610) 721-5008
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
081646
PA
Other
Enumeration date
03/16/2009
Last updated
01/24/2017
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