LISA E GORE

COLUMBIA, MO
NPI1508085358
Former NameLISA E GORE-SHAW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  124308)
Enumeration Date2007-04-24
Last Update Date2020-11-05
Business Address
LISA E GORE CRNA
404 N KEENE ST
COLUMBIA, MO 65201-6626
Phone number: 573-875-9224
Mailing Address
LISA E GORE CRNA
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300