LISA M BENNETT

TULSA, OK
NPI1740218791
Former NameLISA M RIEDEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  R0134240)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704205789)
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  RN-324508)
Enumeration Date2006-06-29
Last Update Date2022-10-13
Business Address
LISA M BENNETT CRNA
4200 E SKELLY DR STE 100
TULSA, OK 74135-3235
Phone number: 422-191-8528
Mailing Address
LISA M BENNETT CRNA
1578 E 59TH ST
TULSA, OK 74105-8006
Phone number: 248-505-2707