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NPI Code Detail

MEDICARE: LARS LUNSMANN CRNA

MEDICARE: LARS LUNSMANN CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist41175OR
2367500000XCertified Registered Nurse Anesthetist089007059CRNAOR
3367500000XCertified Registered Nurse Anesthetist320428AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386663821
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARS LUNSMANN CRNA
Provider Business Mailing Address
First Line : 930 SW 9TH AVENUE
Second Line :
City : ALBANY
State : OR
Zip : 97321
Country : US
Telephone Number : 541-926-9611
Fax Number : 541-926-6152
Provider Business Practice Location Address
First Line : 2200 S HOUGHTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85748-7632
Country : US
Telephone Number : 520-543-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 05/09/2025

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Directions to “ LARS LUNSMANN CRNA” Practice Location

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