Individual
MRS. LISA LYNN WOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
8132 DUCK CREEK DR, RALEIGH, NC 27616-5771
(910) 409-9189
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6439
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/02/2019
Last updated
10/16/2023
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