Individual
LISA A. CITAK
Active
Individual
LISA A. CITAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R083872-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634342200
—
MN
Enumeration date
03/07/2006
Last updated
05/15/2008
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