Individual
LISA CROSBY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1757 IMPERIAL BLVD., LAKE CHARLES, LA 70605
(337) 310-2832
Mailing address
13523 BARRETT PARKWAY DRIVE, SUITE 104, BALLWIN, MO 63021-3802
(636) 938-6868
(636) 938-1486
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN068334
LA
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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