Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Licavoli, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1558339960

Lisa Licavoli, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Saginaw, Michigan. Qualified in 2003, 23 years ago. Practices with Eastern District Anesthesiology PLLC, a 40-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1447 N Harrison St
Saginaw, MI 48602-4727
Phone: (989) 583-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2915 Mackinaw St, Saginaw, MI 48602-3166 — (989) 583-7000
  • 900 Cooper Ave Ste 4100, Saginaw, MI 48602-5182 — (898) 583-0000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704189302 (MI)

Record details

NPI number1558339960
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 10, 2006
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Eastern District Anesthesiology Pllc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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