EDWARD W LANEVILLE

CLARKSVILLE, TN
NPI1205894755
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  52447)
Enumeration Date2006-05-03
Last Update Date2009-01-14
Business Address
-- EDWARD W LANEVILLE CRNA
651 DUNLOP LN
CLARKSVILLE, TN 37040-5015
Phone number: 931-551-1795
Mailing Address
-- EDWARD W LANEVILLE CRNA
1817A MADISON ST STE 1
CLARKSVILLE, TN 37043-2930
Phone number: 931-551-1795
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