SAMUEL LAWRENCE CLEMENTS

LA CROSSE, WI
NPI1487028221
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  7613)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  CRNA 1856)
Enumeration Date2015-11-17
Last Update Date2024-06-04
Business Address
SAMUEL LAWRENCE CLEMENTS CRNA
700 WEST AVE S
LA CROSSE, WI 54601-4783
Phone number: 608-785-0940
Mailing Address
SAMUEL LAWRENCE CLEMENTS CRNA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 608-785-0940