DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARK D LASSWELL CRNA

MEDICARE: MARK D LASSWELL 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 Anesthetist115280MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120174319965615A002OTHERMOTRICARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
317703OTHERMOCOX HEALTH
419411OTHERMOBCBS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6P00213245OTHERMORAILROAD
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8741190OTHERMOHEALTHLINK

General Provider Information

NPI Number : 1639164734
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK D LASSWELL CRNA
Provider Business Mailing Address
First Line : 1600 N 2ND ST
Second Line :
City : CLINTON
State : MO
Zip : 64735-1297
Country : US
Telephone Number : 660-885-5511
Fax Number :
Provider Business Practice Location Address
First Line : 1600 N 2ND ST
Second Line :
City : CLINTON
State : MO
Zip : 64735-1297
Country : US
Telephone Number : 660-885-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 03/30/2022

Similar Medicare Providers

1003929068 — DR. JOHN CURRIER BROWN M.D.
Practice Location Address:
1600 N 2ND ST
CLINTON, MO
64735-1297
Practice Phone: 660-885-5511
Practice Fax:
1609098110 — DARYL PINEDO MD
Practice Location Address:
1600 N 2ND ST
CLINTON, MO
64735-1297
Practice Phone: 660-885-5511
Practice Fax:
1063611705 — DR. SUMMER D BRYANT M.D.
Practice Location Address:
1600 N 2ND ST
CLINTON, MO
64735-1297
Practice Phone: 660-885-5511
Practice Fax:
1851737290 — SILAS HUSTON WILLIAMS IV M.D.
Practice Location Address:
1600 N 2ND ST
CLINTON, MO
64735-1297
Practice Phone: 660-885-5511
Practice Fax:
1386025575 — ZAHRA M REHMAN M.D.
Practice Location Address:
1600 N 2ND ST
CLINTON, MO
64735-1297
Practice Phone: 660-885-5511
Practice Fax:
1649791468 — MS. DANIELLE DAVONE BOGUSLAW MSN APRN FNP-C
Practice Location Address:
1600 N 2ND ST
CLINTON, MO
64735-1297
Practice Phone: 660-885-5511
Practice Fax:

Directions to “ MARK D LASSWELL CRNA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.