Individual
MRS. KAREN E. LUCISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-8983
(704) 355-8994
Mailing address
1737 SHADOW FOREST DR, MATTHEWS, NC 28105-7225
(704) 246-8076
(704) 246-8076
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
110136
NC
Other
Enumeration date
07/28/2006
Last updated
06/04/2010
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