Individual
LISA A SEBASTIAN
Active
Individual
LISA A SEBASTIAN
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
ARNP3373072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310911900
—
FL
01
—
G2483
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/27/2005
Last updated
03/07/2012
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