Individual
LISA TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-3000
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4060
(630) 208-4401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209011094
IL
Other
Enumeration date
10/09/2013
Last updated
12/08/2021
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