LISA COSGROVE

WEST COLUMBIA, SC
NPI1336527225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  24399)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NJ  26NR17116400)
282N00000X General Acute Care Hospital
(Licence: NJ  26NR17116400)
Enumeration Date2015-05-11
Last Update Date2025-09-15
Business Address
Miss LISA COSGROVE CRNA
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-935-8538
Mailing Address
Miss LISA COSGROVE CRNA
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-791-2203