Individual
LISA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
230 N BROAD ST, PHILA, PA 19102-1121
(215) 762-7922
(215) 762-8656
Mailing address
1500 MARKET ST, 24TH FLOOR- WEST TOWER, PHILA, PA 19102-2100
(215) 255-3828
(215) 255-3577
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN346728L
PA
Other
Enumeration date
04/21/2006
Last updated
05/09/2014
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