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Individual

LISA F. TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7117 WILLIS AVE, FORT WORTH, TX 76116-8737
(817) 732-1559
Mailing address
7117 WILLIS AVE, FORT WORTH, TX 76116-8737
(817) 727-7517

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
554420
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163153301
TX
Enumeration date
07/27/2006
Last updated
05/01/2017
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