Individual
MRS. LISA A MUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, MAE
Contact information
Practice address
111 W STATE ST, BOISE, ID 83702-6127
(208) 336-0895
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN11034154
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-586A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806905100
—
ID
Enumeration date
08/31/2006
Last updated
02/20/2026
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