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Individual

LISA JENNIFER BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
601 MAIN ST, DUNEDIN, FL 34698-5848
(727) 734-6916
(727) 734-4516
Mailing address
PO BOX 1074, DUNEDIN, FL 34697-1074
(727) 376-3065

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN102078
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9166030
FL
367500000X
Certified Registered Nurse Anesthetist
R26329
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G3955
BCBS OF FLORIDA
FL
Enumeration date
05/22/2006
Last updated
06/17/2025
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