MICHEAL WAYNE ELLENDER

LAKE CHARLES, LA
NPI1992044309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP07167)
Enumeration Date2013-02-05
Last Update Date2013-02-05
Business Address
-- MICHEAL WAYNE ELLENDER CRNA
4150 NELSON RD STE A4
LAKE CHARLES, LA 70605-4169
Phone number: 337-540-6900
Mailing Address
-- MICHEAL WAYNE ELLENDER CRNA
4150 NELSON RD STE A4
LAKE CHARLES, LA 70605-4169
Phone number: 337-540-6900
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