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General NPI Number Information
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NPI Number | 1356320725
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Entity Type | Individual
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Provider Name | LAMONT SWAIN CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 4169 SEARFOSS DR
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City | WEST BRANCH
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State | MI
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Zip | 48661-8925
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Country | US
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Telephone | 734-241-3891
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Fax | 734-241-0014
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Provider Business Mailing Address
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Address Line | 5623 E DUNBAR RD
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City | MONROE
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State | MI
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Zip | 48161-9127
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Country | US
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Telephone | 734-241-3891
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Fax | 734-241-0014
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4704122392
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License Number State | MI
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