Provider Demographics
NPI:1952428211
Name:CRALL, LIZA S (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LIZA
Middle Name:S
Last Name:CRALL
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:1720 NICHOLASVILLE RD
Mailing Address - Street 2:BLDG E, SUITE 506
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1404
Mailing Address - Country:US
Mailing Address - Phone:859-260-2224
Mailing Address - Fax:859-260-6375
Practice Address - Street 1:1720 NICHOLASVILLE RD
Practice Address - Street 2:BLDG E, SUITE 506
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1404
Practice Address - Country:US
Practice Address - Phone:859-260-2224
Practice Address - Fax:859-260-6375
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2013-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY1046226163W00000X
KY3003607363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse