Individual
SARAH LIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
113 COYOTE XING, SANTA FE, NM 87508-9375
(570) 510-6848
Mailing address
113 COYOTE XING, SANTA FE, NM 87508-9375
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
43-558020-021
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
54454
NM
Other
Enumeration date
10/25/2018
Last updated
04/11/2023
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