LANCE R FREDRICKSON

ATHENS, TX
NPI1659522308
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  200801739)
Enumeration Date2008-09-30
Last Update Date2017-01-19
Business Address
-- LANCE R FREDRICKSON CRNA
510 E CLINTON AVE
ATHENS, TX 75751-3410
Phone number: 903-677-7434
Mailing Address
-- LANCE R FREDRICKSON CRNA
510 E CLINTON AVE
ATHENS, TX 75751-3410
Phone number: 903-677-1000
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