Individual
MS. LISA LYNN MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301
(304) 388-6261
(304) 388-3604
Mailing address
PO BOX 226, FLAR TOP, WV 25841-0226
(304) 787-4703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
49571
WV
367500000X
Certified Registered Nurse Anesthetist
070062
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000269
—
WV
05
—
P00303279
—
WV
Enumeration date
08/23/2006
Last updated
09/11/2025
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