Individual
MRS. LISA ANN CIAMPOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
311 WEST LINCOLN, SUITE 300, BELLEVILLE, IL 62220-1921
(618) 233-7077
Mailing address
13523 BARRETT PARKWAY DRIVE, SUITE 104, BALLWIN, MO 63021-3802
(636) 938-6868
(636) 938-1486
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041295720
IL
367500000X
Certified Registered Nurse Anesthetist
091017
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209000389
IL
Other
Enumeration date
01/04/2007
Last updated
11/15/2022
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