Lisa Tierney CRNA

NPI 1750718664 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1750718664
Gender Female
Enumeration Date 10/09/2013
Last Updated 10/09/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
300 RANDALL RD
GENEVA IL, 60134-4200, US
Phone (630) 208-3000
Fax
Business Location
PO BOX 1123
255 WEST MICHIGAN AVENUE
JACKSON MI, 49204-1123, US
Phone (800) 516-5315
Fax
Toxanomy
Taxonomy Code 367500000X
License State Illinois
License Number 041259932
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According to our database, Lisa Tierney CRNA NPI is 1750718664, taxonomy code is 367500000X and license number is 041259932, license state is located at Illinois. Lisa Tierney CRNA physically located at 300 Randall Rd, Geneva IL, 60134-4200. NPI Number Lisa Tierney CRNA has the Individual type.

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1750718664 NPI number is provided on an as is basis without warranty of any kind. 1750718664 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Tierney CRNA are for informational purposes only.