LISA MARIE GHAVAM

HUNTSVILLE, AL
NPI1285666172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-067541)
Enumeration Date2006-07-07
Last Update Date2013-01-16
Business Address
-- LISA MARIE GHAVAM CRNA
911 BIG COVE RD SE
HUNTSVILLE, AL 35801-3750
Phone number: 256-265-8120
Mailing Address
-- LISA MARIE GHAVAM CRNA
PO BOX 1389
HUNTSVILLE, AL 35807-0389
Phone number: 256-265-8120