LENNY OLIVARES

CROWN POINT, IN
NPI1164690830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  077125)
Enumeration Date2008-02-15
Last Update Date2008-02-15
Business Address
-- LENNY OLIVARES CRNA
9301 CONNECTICUT DRIVE
CROWN POINT, IN 46307-7486
Phone number: 219-756-2100
Mailing Address
-- LENNY OLIVARES CRNA
14518 ABBOTT ROAD EAST
HOMER GLEN, IL 60491-9227
Phone number: 312-371-8129