Individual
LISA ANNE KRUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 833-5530
(330) 833-6085
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 833-5530
(330) 833-6085
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
224640
AZ
367500000X
Certified Registered Nurse Anesthetist
COA10293NA
OH
Other
Enumeration date
11/04/2008
Last updated
10/13/2020
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