IVAN LEGOAS

INDIANAPOLIS, IN
NPI1811971690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28139740A)
Enumeration Date2005-12-05
Last Update Date2021-07-06
Business Address
IVAN LEGOAS CRNA
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256-1695
Phone number: 317-621-5890
Mailing Address
IVAN LEGOAS CRNA
11344 ABBITT TRL
ZIONSVILLE, IN 46077-0016
Phone number: 574-268-9640