Lisa Osborn, CRNA | |
100 Hospital Dr, Lebanon, MO 65536-9210 | |
(417) 533-6100 | |
(417) 533-6021 |
Full Name | Lisa Osborn |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 100 Hospital Dr, Lebanon, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811092281 | NPI | - | NPPES |
431560263 | Other | MO | TRICARE |
1811092281 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 109636 (Missouri) | Primary |
Entity Name | Ecgj Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609120070 PECOS PAC ID: 9133364466 Enrollment ID: O20130314000349 |
Mailing Address | Practice Location Address |
---|---|
Lisa Osborn, CRNA Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Lisa Osborn, CRNA 100 Hospital Dr, Lebanon, MO 65536-9210 Ph: (417) 533-6100 |
Debra A Hoerth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
David Houzenga, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Sara L Kruse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6026 | |
Susan Love, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Mr. Nathan S Larson, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 Fax: 417-533-6021 | |
Janice A Shore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 800-277-8151 Fax: 336-841-6217 | |
Desiree Calbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 |