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Individual

MS. LISA E PULVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
465 N. ROXBURY #1001, BEVERLY HILLS, CA 90210
(310) 796-1103
(310) 545-1169
Mailing address
563 33RD ST, MANHATTAN BEACH, CA 90266-3405
(310) 291-0263
(310) 545-1169

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2010
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA0020100
BLUE SHIELD
CA
Enumeration date
03/29/2007
Last updated
09/24/2025
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