Lish, Derek C

Lish, Derek C is an individual health care provider with primary practice located at 950 Medical Dr , Brigham City UT 84302-4724. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lish, Derek C can be contacted via phone (435) 734-9471.

Contact Information

Primary practice address
950 Medical Dr Brigham City UT 84302-4724
Phone: (435) 734-9471
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X TEMP RNA 19861 Idaho

Profile Details

NPI number 1699914044
LBN Legal business name Lish, Derek C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2009
Last updated Oct 26th, 2021 - about 4 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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