Lacayo Dettbarn, Gisella

Lacayo Dettbarn, Gisella is an individual health care provider with primary practice located at 9333 Sw 152Nd St , Palmetto Bay FL 33157-1778. 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. Lacayo Dettbarn, Gisella can be contacted via phone (305) 251-2500.

Contact Information

Primary practice address
9333 Sw 152Nd St Palmetto Bay FL 33157-1778
Phone: (305) 251-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN9204956 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9204956 Florida

Profile Details

NPI number 1033413562
LBN Legal business name Lacayo Dettbarn, Gisella
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2010
Last updated Aug 4th, 2015 - 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.

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