Individual
LISA C CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
408 N MAIN ST FL 2, PUEBLO, CO 81003-3123
(719) 595-7417
Mailing address
7520 BAXTER AVE, PENNSAUKEN, NJ 08109-3230
(856) 383-0404
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APN.0996019-CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
RN213799
AZ
Other
Enumeration date
07/24/2020
Last updated
06/09/2025
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