Organization
MATHISON ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A MATHISON CRNA (PRESIDENT)
(540) 538-6184
Entity
Organization
Contact information
Practice address
2050 ABBEY RD STE D, CHARLOTTESVILLE, VA 22911-3553
(434) 218-5090
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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