Individual
MS. LISA MARIE EGENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED REGISTERED
Contact information
Practice address
1400 MADISON AVE STE 311, MANKATO, MN 56001
(507) 345-2623
Mailing address
1400 MADISON AVE STE 311, MANKATO, MN 56001-2421
(507) 345-2623
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1705249
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
387
MN
367500000X
Certified Registered Nurse Anesthetist
655587
NY
Other
Enumeration date
06/04/2012
Last updated
06/26/2019
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