| Mr Derek C Lish, CRNA | |
|
950 Medical Dr, Brigham City, UT 84302-4724 | |
| (435) 734-9471 | |
| Not Available |
| Full Name | Mr Derek C Lish |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 950 Medical Dr, Brigham City, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699914044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | TEMP RNA 19861 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derek C Lish, CRNA Po Box 4268, Portland, OR 97208-4268 Ph: (503) 372-2740 | Mr Derek C Lish, CRNA 950 Medical Dr, Brigham City, UT 84302-4724 Ph: (435) 734-9471 |
Penny J Ogden, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 950 Medical Dr, Brigham City, UT 84302 Phone: 800-594-6399 Fax: 801-733-5618 | |
Mr. Scott Christian Phillips, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 950 S 500 W, Brigham City, UT 84302 Phone: 435-734-9471 |