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Individual

MS. LISA ANN TUSSET

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2999 S TAMIAMI TRL, SUNCOAST ENDOSCOPY A PROPOS ANESTHESIA, SARASOTA, FL 34239-5106
(941) 362-7847
Mailing address
10354 N TERRITORIAL RD, PLYMOUTH, MI 48170-5813
(734) 354-3100

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704136651
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9224162
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1804607
MI
Enumeration date
05/02/2006
Last updated
07/08/2007
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