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Individual

LISA R KIRBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-039822
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051525880
AL
01
51525880
BLUE SHIELD
AL
Enumeration date
05/12/2006
Last updated
03/31/2010
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