Individual
LISA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3998 FAIR RIDGE DR, 320, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 295-9369
Mailing address
PO BOX 37090, BALTIMORE, MD 21297-3090
(703) 295-9360
(703) 295-9369
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-077835
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107050
—
AL
Enumeration date
02/15/2007
Last updated
08/14/2013
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