Individual
LISA A WUNDERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
Mailing address
250 PLEASANT ST, CONCORD, NH 03301-7559
(603) 789-9103
(603) 227-7832
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
040076-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30343405
—
NH
Enumeration date
11/20/2006
Last updated
07/18/2024
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