Organization
LISA E PULVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA E PULVER CRNA (OWNER)
(310) 796-1103
Entity
Organization
Contact information
Practice address
1301 20TH ST STE 300, SANTA MONICA, CA 90404-2087
(310) 796-1103
Mailing address
665 27TH ST, MANHATTAN BEACH, CA 90266-2230
(310) 796-1103
(310) 545-1169
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2010
CA
Other
Enumeration date
01/02/2007
Last updated
03/12/2009
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