MEDICARE: LAURIE A STEIN 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
1	367500000X	Certified Registered Nurse Anesthetist	1-133333	AL
2	367500000X	Certified Registered Nurse Anesthetist	815764	TX
3	367500000X	Certified Registered Nurse Anesthetist	105988	NC
4	367500000X	Certified Registered Nurse Anesthetist	379104	OH
5	367500000X	Certified Registered Nurse Anesthetist	61538	ME
6	367500000X	Certified Registered Nurse Anesthetist	2589902	FL
7	367500000X	Certified Registered Nurse Anesthetist	ARNP2589902	FL
8	367500000X	Certified Registered Nurse Anesthetist	CRNA-01312	NM
9	367500000X	Certified Registered Nurse Anesthetist	201762	CO

General Provider Information

NPI Number	:	1609866813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE A STEIN CRNA

Provider Business Mailing Address
First Line	:	140 NAUTICA MILE DR
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-2469
Country	:	US
Telephone Number	:	407-259-9783
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 N GRAND AVE
Second Line	:	SUITE 440
City	:	PUEBLO
State	:	CO
Zip	:	81003-2700
Country	:	US
Telephone Number	:	719-543-3500
Fax Number	:	719-543-3504

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	05/22/2019

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Directions to “ LAURIE A STEIN CRNA” Practice Location

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