Lance Lagerstrom in Odessa - Nurse Anesthetist, Certified Registered

Lance Lagerstrom - NPI 1184616625

Lance Lagerstrom is a Nurse Anesthetist, Certified Registered in Odessa, Texas. Lance Lagerstrom practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Lance Lagerstrom is 1184616625. The last update date is 2022-11-17.

Lance Lagerstrom's current location address is Po Box 1226, Odessa, Texas. You can contact this provider via phone number 4323348088 and fax number 4325807202. The mailing address for Lance Lagerstrom is Po Box 1226, Odessa, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lance Lagerstrom
Address Po Box 1226, Odessa, Texas
Phone Number 4323348088
Fax Number 4325807202
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1184616625
Provider Enumeration Date 2005-08-19
Last Updated Date 2022-11-17

Provider Mailing Address Detail

Address Po Box 1226
City Odessa
State Texas (TX)
Post Code 797601226
Phone Number 4323348088
Fax Number 4325807202

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 52743
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
164828902 TX --
85594U TX BCBSTX

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FAQs about Lance Lagerstrom

What is the unique 10-digit identification code assigned to Lance Lagerstrom by the Centers for Medicare & Medicaid Services?

The Lance Lagerstrom has been issued the NPI (National Provider Identifier) 1184616625, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Lance Lagerstrom?

The Lance Lagerstrom is situated at Po Box 1226, in the city of Odessa, state of TX, with the zip code 797601226.

What is Lance Lagerstrom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lance Lagerstrom is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.

On what date did the Lance Lagerstrom receive its 1184616625 assignment from the Centers for Medicare & Medicaid Services?

The Lance Lagerstrom was assigned its 1184616625 by the Centers for Medicare & Medicaid Services on 2005-08-19.

When was the information pertaining to Lance Lagerstrom most recently updated or revised?

The details related to Lance Lagerstrom, including its address, specialty, and other relevant information, were last updated or revised on 2022-11-17.

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