Individual
MR. CHARLES DAVID LAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 S MILL AVE, TEMPE, AZ 85281-6699
(480) 784-5500
Mailing address
862 N PINEVIEW DR, CHANDLER, AZ 85226-1919
(480) 940-3895
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN083051
AZ
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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