Individual
MRS. LISA D VALLELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 PALMYRA RD, ALBANY, GA 31701-1528
(229) 434-2161
(229) 434-2502
Mailing address
2000 PALMYRA RD, ALBANY, GA 31701-1528
(229) 434-2161
(229) 434-2502
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN174251
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466225647A
—
GA
Enumeration date
11/02/2005
Last updated
09/19/2007
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