Individual
LISA C GANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
816 INDEPENDENCE BLVD STE 2G, VIRGINIA BEACH, VA 23455-6010
(757) 363-6728
(757) 363-6204
Mailing address
816 INDEPENDENCE BLVD STE 2G, VIRGINIA BEACH, VA 23455-6010
(757) 363-6728
(757) 363-6204
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
0024170563
VA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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