Myers, Lisa

Myers, Lisa is an individual health care provider with primary practice located at 3998 Fair Ridge Dr 320, Fairfax VA 22033-2907. 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. Myers, Lisa can be contacted via phone (703) 295-9360.

Contact Information

Primary practice address
3998 Fair Ridge Dr 320 Fairfax VA 22033-2907
Phone: (703) 295-9360
Fax: (703) 295-9369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-077835 Alabama

Profile Details

NPI number 1598808057
LBN Legal business name Myers, Lisa
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Aug 14th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598808057 NPPES
Alabama MEDICAID 107050

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