Individual
MRS. LISA LYNN MCBRAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2302 HIGHWAY 46, DEER PARK, WI 54007-7501
(715) 269-5530
Mailing address
968 SUNRISE BEACH DR, AMERY, WI 54001-4829
(715) 268-6141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
044983
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43397200
—
WI
01
—
R 113428-9
RN LICENSE
MN
Enumeration date
08/01/2006
Last updated
07/08/2007
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