Lisa Ann Ciampoli CRNA

NPI 1720135833 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1720135833
Gender Female
Enumeration Date 01/04/2007
Last Updated 11/12/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
311 WEST LINCOLN
SUITE 300
BELLEVILLE IL, 62220-1921, US
Phone (618) 233-7077
Fax
Business Location
13523 BARRETT PARKWAY DRIVE
SUITE 104
BALLWIN MO, 63021-3802, US
Phone (636) 938-6868
Fax (636) 938-1486
Toxanomy
Taxonomy Code 367500000X
License State Illinois
License Number 209000389
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According to our database, Mrs. Lisa Ann Ciampoli CRNA NPI is 1720135833, taxonomy code is 367500000X and license number is 209000389, license state is located at Illinois. Lisa Ann Ciampoli CRNA physically located at 311 West Lincoln, Belleville IL, 62220-1921. NPI Number Lisa Ann Ciampoli CRNA has the Individual type.

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1720135833 NPI number is provided on an as is basis without warranty of any kind. 1720135833 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ann Ciampoli CRNA are for informational purposes only.