Individual
LISA MARIE COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 293-8228
(937) 293-8229
Mailing address
2041 LAKE DR, WINTER PARK, FL 32789-2837
(513) 464-0767
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.121118
OH
367500000X
Certified Registered Nurse Anesthetist
RN.254792
OH
Other
Enumeration date
01/14/2011
Last updated
04/14/2021
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