Individual
LILIANA RASCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
575 PROFESSIONAL DR STE 165, LAWRENCEVILLE, GA 30046-3300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN190110
GA
Other
Enumeration date
03/17/2016
Last updated
03/31/2021
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