Individual
MISS LISBETH BLAINE MEGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3702 AUTOMATION WAY, FORT COLLINS, CO 80525-5737
(352) 895-2266
Mailing address
3702 AUTOMATION WAY, FORT COLLINS, CO 80525-5737
(352) 895-2266
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9374817
FL
405300000X
Prevention Professional
9374817
FL
Other
Enumeration date
12/17/2018
Last updated
08/24/2022
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