Individual
LISA DIANNE HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 FERNDALE BLVD, HIGH POINT, NC 27262-4739
(336) 882-2567
(336) 882-5466
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43387
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050299
—
NC
Enumeration date
03/16/2006
Last updated
08/06/2025
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