LISA DIANE BLACKETTER, CRNA
Nursing at Albany Rd, Carbondale, IL

License number
Illinois 209010216
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
Address
Address
35 Albany Rd STE C, Carbondale, IL 62903
Phone
(618) 457-5111
(618) 457-6560 (Fax)
National Provider ID: 1851630040
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Professional information

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Lisa Diane Blacketter, Carbondale IL

Lisa Diane Blacketter, Carbondale IL
Specialties:
Nurse Practitioner
Address:
35 Albany Rd, Carbondale, IL 62903

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