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NPI Code Detail

MEDICARE: LORI M TINDALL CRNA

MEDICARE: LORI M TINDALL 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 AnesthetistNA2938CA

General Provider Information

NPI Number : 1972549806
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI M TINDALL CRNA
Provider Business Mailing Address
First Line : PO BOX 3776
Second Line :
City : PINEDALE
State : CA
Zip : 93650-3776
Country : US
Telephone Number : 559-436-0871
Fax Number : 559-436-5221
Provider Business Practice Location Address
First Line : 7152 N SHARON AVE
Second Line : 104
City : FRESNO
State : CA
Zip : 93720-3361
Country : US
Telephone Number : 559-447-4898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 07/29/2014

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Directions to “ LORI M TINDALL CRNA” Practice Location

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