Individual
LISA M. KYZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1703 N BUERKLE ST, STUTTGART, AR 72160-3153
(501) 202-2093
(501) 202-6316
Mailing address
11001 EXECUTIVE CENTER DR, SUITE 200, LITTLE ROCK, AR 72211-4316
(501) 202-2093
(501) 202-6316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C001381
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150490701
—
AR
Enumeration date
07/13/2006
Last updated
09/25/2014
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