Individual
MRS. LISA MICHELLE GAMMENTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-2000
Mailing address
6225 N STATE HIGHWAY 161, STE# 200, IRVING, TX 75038-2223
(214) 687-0001
(972) 518-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1146604
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3009942
KY
Other
Enumeration date
12/13/2015
Last updated
12/13/2015
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