Organization
LJM ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J MORENO (OWNER/ PROVIDER)
(727) 376-3065
Entity
Organization
Contact information
Practice address
1300 MURCHISON DR STE 200, EL PASO, TX 79902-4838
(915) 225-7600
(915) 225-7600
Mailing address
5959 GATEWAY BLVD W STE 120, EL PASO, TX 79925-3315
(915) 779-1716
(915) 779-1754
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
03/17/2018
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