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LISA LICAVOLI, CRNA
CRNA
Certified Registered Nurse Anesthetist
NPI: 1558339960IndividualAccepts Medicare
Specialties, Licenses & Credentials
Certified Registered Nurse AnesthetistPrimary
Nurse Anesthetist, Certified Registered
Code: 367500000X
4704189302(MI)
CMS Specialties
PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Education
OTHER
Class of 2003
Contact & Hours
- Address
- 3601 W 31 MILE RD, 400 FSC - PCS
ROYAL OAK, MI 48073 - Phone
- (248) 423-3144
Quick Facts
- NPI
- 1558339960
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 23
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