Individual
LISA A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8100 S WALKER AVE BLDG C, OKLAHOMA CITY, OK 73139-9404
(405) 602-6500
Mailing address
6701 NW 178TH ST, EDMOND, OK 73012-8741
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
67714
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100782550A
—
OK
Enumeration date
08/03/2006
Last updated
08/13/2025
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