IVAN LEGOAS CRNA, LLC

INDIANAPOLIS, IN
NPI1659775740
Entity TypeOrganization
Authorized ContactIVAN LEGOAS
Owner
574-268-9640
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2014-10-17
Last Update Date2014-10-17
Business Address
IVAN LEGOAS CRNA, LLC
9002 N MERIDIAN ST LOWER LEVEL
INDIANAPOLIS, IN 46260-5381
Phone number: 574-268-9640
Mailing Address
IVAN LEGOAS CRNA, LLC
PO BOX 1296
WARSAW, IN 46581-1296
Phone number: 574-268-9640
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