| NPI | 1508843004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI K LEWIS Office Manager 814-333-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2019-10-16 |