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Individual

MRS. RITA ANN LYSENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4404
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4404

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
AK-RN #24570
AK
367500000X
Certified Registered Nurse Anesthetist
Primary
AK-CRNA #275
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030962
AK
Enumeration date
11/09/2005
Last updated
05/02/2025
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