Individual
LISA M BREECE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3323 HEATHERWOOD TRCE, CLARKSVILLE, TN 37040-5758
(210) 363-1853
Mailing address
3323 HEATHERWOOD TRCE, CLARKSVILLE, TN 37040-5758
(210) 363-1853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-53790
HI
367500000X
Certified Registered Nurse Anesthetist
Primary
13955
TN
367500000X
Certified Registered Nurse Anesthetist
3015412
KY
Other
Enumeration date
11/18/2008
Last updated
07/19/2023
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