BENJAMIN LUCAS HORTON

ROANOKE, VA
NPI1417347360
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024172302)
Enumeration Date2015-01-30
Last Update Date2015-01-30
Business Address
-- BENJAMIN LUCAS HORTON CRNA
1906 BELLEVIEW AVE SE CARILION CLINIC - ANESTHESIA SERVICES
ROANOKE, VA 24014-1838
Phone number: 540-798-8912
Mailing Address
-- BENJAMIN LUCAS HORTON CRNA
3011 OAK ST SW
ROANOKE, VA 24015-4207
Phone number: 540-798-8912