Anderson, Lyza J

Anderson, Lyza J is an individual health care provider with primary practice located at 242 9Th Avenue Dr Ne , Hickory NC 28601-3828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Lyza J can be contacted via phone (828) 322-7305.

Contact Information

Primary practice address
242 9Th Avenue Dr Ne Hickory NC 28601-3828
Phone: (828) 322-7305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN144880 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 201508616CRNA Oregon

Profile Details

NPI number 1861613119
LBN Legal business name Anderson, Lyza J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated May 20th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861613119 NPPES
Georgia Other 082191424A PEACHSTATE CMO- MCCG
Georgia MEDICAID 082191424A PEACHSTATE CMO- MCCG
Georgia Other 344382 PEACHSTATE CMO- MCCG
Georgia Other P00088939 PEACHSTATE CMO- MCCG

Popular Providers