Lanette O Walls CRNA

NPI 1063449627 - Specialist - 174400000X

NPI Details
NPI 1063449627
Gender Female
Enumeration Date 06/27/2006
Last Updated 08/05/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1224 TROTWOOD AVE
COLUMBIA TN, 38401-4802, US
Phone (931) 381-1111
Fax (931) 490-7064
Business Location
PO BOX 235022
MONTGOMERY AL, 36123-5022, US
Phone (866) 612-5074
Fax (334) 396-6929
Toxanomy
Taxonomy Code 174400000X
License State Tennessee
License Number 103320
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According to our database, Lanette O Walls CRNA NPI is 1063449627, taxonomy code is 174400000X and license number is 103320, license state is located at Tennessee. Lanette O Walls CRNA physically located at 1224 Trotwood Ave, Columbia TN, 38401-4802. NPI Number Lanette O Walls CRNA has the Individual type.

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1063449627 NPI number is provided on an as is basis without warranty of any kind. 1063449627 is maintained by the National Plan & Provider Enumeration System. The contents of Lanette O Walls CRNA are for informational purposes only.