Lawrence W. Shotwell CRNA

NPI 1104016369 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1104016369
Gender Male
Enumeration Date 07/25/2007
Last Updated 07/25/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 E MOUNTAIN BLVD
WILKES BARRE PA, 18711-0027, US
Phone (570) 826-7850
Fax (570) 826-7855
Business Location
100 N ACADEMY AVE
DANVILLE PA, 17822-3034, US
Phone (570) 271-6144
Fax (570) 271-6578
Toxanomy
Taxonomy Code 367500000X
License State Pennsylvania
License Number RN548527
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According to our database, Mr. Lawrence W. Shotwell CRNA NPI is 1104016369, taxonomy code is 367500000X and license number is RN548527, license state is located at Pennsylvania. Lawrence W. Shotwell CRNA physically located at 1000 E Mountain Blvd, Wilkes Barre PA, 18711-0027. NPI Number Lawrence W. Shotwell CRNA has the Individual type.

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1104016369 NPI number is provided on an as is basis without warranty of any kind. 1104016369 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence W. Shotwell CRNA are for informational purposes only.