Individual
LISA L BUSHMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 LOTHROP ST, FORBES TOWERS 9055, PITTSBURGH, PA 15213-2536
(412) 647-3087
Mailing address
4401 PENN AVE, PITTSBURGH, PA 15224-1334
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN539581
PA
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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