Individual
LIZA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5122 MOSER DR, BALL, LA 71405-3668
(740) 222-2666
Mailing address
5122 MOSER DR, BALL, LA 71405-3668
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
916109
LA
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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