Individual
LISA KIM MCCLAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
361 ALEXANDER SPRING RD, CARLISLE, PA 17015
(717) 249-1212
(717) 519-0684
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN304213L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102568768
—
PA
Enumeration date
01/20/2011
Last updated
01/27/2021
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