JASON DEAN LIGHTLE

SAINT JOSEPH, MO
NPI1588929210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2012018728)
Enumeration Date2012-07-09
Last Update Date2024-10-09
Business Address
JASON DEAN LIGHTLE CRNA
5325 FARAON ST
SAINT JOSEPH, MO 64506-3488
Phone number: 816-271-6350
Mailing Address
JASON DEAN LIGHTLE CRNA
PO BOX 410245
KANSAS CITY, MO 64141-0245
Phone number: 816-271-1365