Individual
MRS. LORI MUNDY VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 SAINT FRANCIS DR, GREENVILLE, SC 29601-3955
(864) 255-1073
Mailing address
106 RAES CREEK DR, GREENVILLE, SC 29609-1919
(864) 335-8757
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2630
SC
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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