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NPI Code Detail

MEDICARE: LISA ANNE SANTORO CRNA

MEDICARE: LISA ANNE SANTORO CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN246704LPA

General Provider Information

NPI Number : 1053317768
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ANNE SANTORO CRNA
Provider Business Mailing Address
First Line : 68 S. SERVICE RD.
Second Line : STE 350
City : MELVILLE
State : NY
Zip : 11747-2358
Country : US
Telephone Number : 516-945-3347
Fax Number : 516-945-3131
Provider Business Practice Location Address
First Line : 140 NUTT RD
Second Line :
City : PHOENIXVILLE
State : PA
Zip : 19460-3906
Country : US
Telephone Number : 610-983-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 04/24/2015

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Directions to “ LISA ANNE SANTORO CRNA” Practice Location

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