Lisa W Green, CRNA
NPI #1003170754 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1003170754
- Entity Type
- Individual
- Name
- Lisa W Green, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jun 27, 2012
- Last Updated
- May 16, 2014
Practice Location
- Address
- 1009 LARK ST
- Address 2
- SUITE 2
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-8217
- Phone
- (423) 283-0776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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