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LAKEIDRIA RANDALL CRNA

Nursing Yellow Pages

Baton Rouge, Louisiana

Provider NPI: 1245562800

Provider Information:
 LAKEIDRIA  RANDALL CRNA


Practice Location:
7777 HENNESSY BLVD STE. 301 BATON ROUGE, LA 70808 US
Tel: 214-592-2957  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WA2000XNursing Service Providers
Registered Nurse
Administrator
LA112518
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
LAAP07633

Other Provider Identifiers:

IssuerNumberStateType
2353403LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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