Lisa Ann Provost is a Certified Registered Nurse Anesthetist based in Marietta, OH. Lisa Ann Provost practices in Marietta, OH and has the professional credentials of CRNA. The NPI Number for Lisa Ann Provost is 1235106840 and holds a License No. 3485A (Ohio).
The current practice location address for Lisa Ann Provost is 401 Matthew St, Marietta, OH and can be reached out via phone at 740-376-1994 and via fax at 740-376-1940.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0069080000 | 05 | WV | |
| 0282617 | 05 | OH | |
| 74472408 | 05 | KY | |
| 000000339679 | 01 | KY | ANTHEM BLUE CROSS BLUE SHIELD |
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