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LISA M. KYZER CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1922023506

Individual Registrant:
 LISA M. KYZER CRNA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1703 N BUERKLE ST  STUTTGART, AR 72160-3153 US
Tel: 501-202-2093  Fax: 501-202-6316

Contact information for business:
11001 EXECUTIVE CENTER DR SUITE 200 LITTLE ROCK, AR 72211-4316 US
Tel: 501-202-2093  Fax: 501-202-6316

Registration Information:
NPI: 1922023506
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
ARC001381

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
150490701AR05




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