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Individual

MRS. LISA GOFF PAGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209019984
IL
367500000X
Certified Registered Nurse Anesthetist
3003751
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
7467
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74007089
KY
01
P00755571
RAIL ROAD MEDICARE
KY
Enumeration date
09/27/2006
Last updated
12/15/2025
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