Klein, Lisa

Klein, Lisa is an individual health care provider with primary practice located at 1700 Medical Way , Snellville GA 30078-2195. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Klein, Lisa can be contacted via phone (770) 979-9996.

Contact Information

Primary practice address
1700 Medical Way Snellville GA 30078-2195
Phone: (770) 979-9996
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R031895 Georgia

Profile Details

NPI number 1376524801
LBN Legal business name Klein, Lisa
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jun 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376524801 NPPES
Georgia MEDICAID 000510639C
Georgia MEDICAID 000510639E
Georgia Other 430075905

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