Lillie Manon
Lillie Manon is a Certified Registered Nurse Anesthetist (CRNA) in Jersey City, New Jersey. Qualified in 2015, 11 years ago. Practices with Professional Anesthesia Services of North America PC, a 50-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 11
- Licensed in
- CT
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
82 Tuers Ave Apt 2Jersey City, NJ 07306-3258
Phone: (610) 761-1511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 6117 (CT) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 125771 (CT) |
Record details
| NPI number | 1255718128 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 29, 2015 |
| Last updated in NPPES | January 3, 2018 |
| Mailing address | 82 Tuers Ave Apt 2, Jersey City, NJ 07306-3258 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Professional Anesthesia Services Of North America Pc — 50 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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