Individual
LISA F KAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CRNA LD
Contact information
Practice address
1000 MEDICAL CENTER DR, MONTICELLO, IL 61856-2116
(217) 762-2115
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-8121
(217) 876-2261
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041-277131
IL
Other
Enumeration date
10/25/2006
Last updated
03/15/2024
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