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NPI Code Detail

MEDICARE: MR. LAWRENCE D LETCHER CRNA

MEDICARE: MR. LAWRENCE D LETCHER 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
1367500000XCertified Registered Nurse AnesthetistRN238083OH

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 : 1487604716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LAWRENCE D LETCHER CRNA
Provider Business Mailing Address
First Line : 4135 BOARDMAN CANFIELD RD
Second Line : SUITE 101
City : CANFIELD
State : OH
Zip : 44406-9803
Country : US
Telephone Number : 330-286-5330
Fax Number : 330-286-5396
Provider Business Practice Location Address
First Line : 3893 E MARKET ST
Second Line : STE 2
City : WARREN
State : OH
Zip : 44484-4706
Country : US
Telephone Number : 330-856-1272
Fax Number : 330-856-2960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 01/17/2017

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