Lisa Ann Bristow CRNA

NPI 1790718336 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1790718336
Gender Female
Enumeration Date 07/08/2006
Last Updated 04/09/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
301 PROSPECT AVE
SYRACUSE NY, 13203-1807, US
Phone (315) 299-5451
Fax
Business Location
6314 FARMVIEW LN
CICERO NY, 13039-8234, US
Phone (315) 699-2716
Fax
Toxanomy
Taxonomy Code 367500000X
License State New York
License Number 48834
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According to our database, Mrs. Lisa Ann Bristow CRNA NPI is 1790718336, taxonomy code is 367500000X and license number is 48834, license state is located at New York. Lisa Ann Bristow CRNA physically located at 301 Prospect Ave, Syracuse NY, 13203-1807. NPI Number Lisa Ann Bristow CRNA has the Individual type.

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1790718336 NPI number is provided on an as is basis without warranty of any kind. 1790718336 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ann Bristow CRNA are for informational purposes only.