Individual
KERRI ELIZABETH LISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1602
(315) 470-7111
Mailing address
40 FRONT ST., SUITE C, RIVERSIDE ASSOCIATES IN ANESTHESIA, BINGHAMTON, NY 13905
(607) 722-7264
(607) 722-7869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
528578
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
528578
NY
Other
Enumeration date
12/28/2009
Last updated
12/18/2023
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