Individual
LISA PFEFFERKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6511
Mailing address
29253 SNAPDRAGON PL, CANYON COUNTRY, CA 91387-1858
(510) 378-6260
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
658332
NY
163W00000X
Registered Nurse
834554
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000663
CA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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