Lisa Licavoli CRNA

  • NPI 1558339960
According to our database, the NPI number for Lisa Licavoli CRNA is 1558339960 and activated since 18 years ago. Lisa Licavoli CRNA is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is 3601 W 31 Mile Rd, Royal Oak, MI 48073. You can also contact Lisa Licavoli CRNA via telephone number is (248) 423-3144. Provider NPI information was last updated on 12/04/2012.

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Overview of Lisa Licavoli CRNA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/10/2006
  • Last updated: 12/04/2012

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 4704189302
  • License State: MI

Provider Mailing Address

  • Address: 3601 W 31 Mile Rd
    400 Fsc - Pcs
    Royal Oak, MI 48073
  • Phone: 248-423-3144
  • Fax:

Provider Practice Location

  • Address: 3601 W 31 Mile Rd
    400 Fsc - Pcs
    Royal Oak, MI 48073
  • Phone: 248-423-3144
  • Fax:

Scope of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 4704189302
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 430F364420
  • Identifier Type: Other
  • Identifier State: MI
  • Issuer: BCBSM

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Lisa Licavoli CRNA?
  • A: The npi number for Lisa Licavoli CRNA is 1558339960.
  • Q: What are Lisa Licavoli CRNA's specialties?
  • A: Lisa Licavoli CRNA's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for Lisa Licavoli CRNA?
  • A: The medical license number for Lisa Licavoli CRNA is 4704189302 and issued in MI in USA.
  • Q: Where is Lisa Licavoli CRNA practice location?
  • A: Lisa Licavoli CRNA is practicing at 3601 W 31 Mile Rd, Royal Oak, MI 48073.
  • Q: How to contact Lisa Licavoli CRNA?
  • A: You can contact Lisa Licavoli CRNA via 248-423-3144.
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