Lee Rivard CRNA

NPI 1003871229 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1003871229
Gender Male
Enumeration Date 04/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
ST PAUL MN, 55101-2502, US
Phone (651) 254-3456
Fax (651) 254-3048
Business Location
8100 34TH AVE S
BLOOMINGTON MN, 55425-1672, US
Phone (952) 883-7961
Fax (952) 883-5395
Taxonomy Code 367500000X
License State Minnesota
License Number R0840532
Remove 1003871229 NPI Number

According to our database, Lee Rivard CRNA NPI is 1003871229, taxonomy code is 367500000X and license number is R0840532, license state is located at Minnesota. Lee Rivard CRNA physically located at 640 Jackson St, St Paul MN, 55101-2502. NPI Number Lee Rivard CRNA has the Individual type.

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1003871229 NPI number is provided on an as is basis without warranty of any kind. 1003871229 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Rivard CRNA are for informational purposes only.