Individual
LUCIA TALISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
2759 HAMPSHIRE RD APT 3, CLEVELAND HEIGHTS, OH 44106-2580
(412) 735-0711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
307553
GA
163W00000X
Registered Nurse
466229
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN307553
GA
Other
Enumeration date
07/27/2024
Last updated
05/29/2025
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