Individual
MRS. LISA A BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12 RIDGEFIELD DR SE, SILVER CREEK, GA 30173-2345
(678) 637-0840
Mailing address
12 RIDGEFIELD DR SE, SILVER CREEK, GA 30173-2345
(678) 637-0840
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN156608
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951694694A
—
GA
01
—
GRP180
MEDICARE GROUP NUMBER
GA
Enumeration date
03/12/2007
Last updated
10/13/2012
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