Mckenzie, Lisa Lynn

Mckenzie, Lisa Lynn is an individual health care provider with primary practice located at 501 Morris St , Charleston WV 25301. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Nursing Service Providers / Registered Nurse is her primary health care specialty. Mckenzie, Lisa Lynn can be contacted via phone (304) 388-6261.

Contact Information

Primary practice address
501 Morris St Charleston WV 25301
Phone: (304) 388-6261
Fax: (304) 388-3604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 49571 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 070062 West Virginia

Profile Details

NPI number 1992812432
LBN Legal business name Mckenzie, Lisa Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 9th, 2007 - about 19 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 1992812432 NPPES
West Virginia MEDICAID P00303279
West Virginia MEDICAID 3810000269

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