Organization
WINDBROOK ANESTHESIA LLC
Active
Organization
WINDBROOK ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA TREVAN MD (OWNER)
(301) 733-4200
Entity
Organization
Contact information
Practice address
10212 GOVERNOR LANE BLVD, SUITE 1004, WILLIAMSPORT, MD 21795-4086
(301) 733-4200
(301) 223-7121
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
08/15/2016
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