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NPI Code Detail

MEDICARE: LISA A SEBASTIAN CRNA

MEDICARE:   LISA A SEBASTIAN  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 AnesthetistARNP3373072FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G2483OTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780674010
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA A SEBASTIAN CRNA
Provider Business Mailing Address
First Line : 6015 POINTE WEST BLVD
Second Line :
City : BRADENTON
State : FL
Zip : 34209-5532
Country : US
Telephone Number : 941-792-1404
Fax Number : 941-761-0712
Provider Business Practice Location Address
First Line : 6015 POINTE WEST BLVD
Second Line :
City : BRADENTON
State : FL
Zip : 34209-5532
Country : US
Telephone Number : 941-792-1404
Fax Number : 941-761-0712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 03/07/2012

Similar Medicare Providers

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Practice Location Address:
6015 POINTE WEST BLVD
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1033171939 — MR. STEVEN STANLEY WALTHER CRNA
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1356304992 — GINETTE LYNN IMLER CRNA
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Practice Fax: 941-761-0712
1598723843 — MR. JEFFREY JOHN FRENCH P.T.
Practice Location Address:
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1487605135 — DR. DANIEL EUGENE WOLFE M.D.
Practice Location Address:
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1023047578 — MR. MICHAEL T ROZMUS OT/CHT
Practice Location Address:
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Practice Fax: 941-795-1717

Directions to “ LISA A SEBASTIAN CRNA” Practice Location

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