Individual
LISA E SUMMERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A
Contact information
Practice address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103
(336) 768-3212
(336) 768-9019
Mailing address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 768-3212
(336) 768-9019
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
41325564
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
74722
NC
Other
Enumeration date
08/16/2006
Last updated
10/28/2020
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