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Contact Information

SANDRA D LISOTTA, CRNA
8212 SUMMA AVE
BATON ROUGE, LA70809
 Phone: 225-769-4403
 Fax: 225-769-4403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for SANDRA D LISOTTA · (Female)

NPI Number 1730372921
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 08/22/2007
Last updated 08/22/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 039091 02465
  • LA Other 039091 02465 LA CRNA LIC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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