Lacivita, Lisa

Lacivita, Lisa is an individual health care provider with primary practice located at 5755 Cedar Ln , Columbia MD 21044-2912. 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. Lacivita, Lisa can be contacted via phone (410) 740-7890.

Contact Information

Primary practice address
5755 Cedar Ln Columbia MD 21044-2912
Phone: (410) 740-7890
Fax: (410) 740-7610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R069690 Maryland

Profile Details

NPI number 1659507572
LBN Legal business name Lacivita, Lisa
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2009
Last updated Jun 5th, 2009 - about 17 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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