LISA LACIVITA

COLUMBIA, MD
NPI1659507572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R069690)
Enumeration Date2009-06-05
Last Update Date2009-06-05
Business Address
-- LISA LACIVITA CRNA
5755 CEDAR LN
COLUMBIA, MD 21044-2912
Phone number: 410-740-7890
Mailing Address
-- LISA LACIVITA CRNA
11085 LITTLE PATUXENT PKWY SUITE 004
COLUMBIA, MD 21044-2983
Phone number:
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