Individual
MRS. LISA ANN BRISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 299-5451
Mailing address
6314 FARMVIEW LN, CICERO, NY 13039-8234
(315) 699-2716
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
48834
NY
Other
Enumeration date
07/08/2006
Last updated
04/09/2013
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