Individual
JUSTIN LANE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2302 COLLEGE AVE, CONWAY, AR 72034-6297
(501) 329-3831
Mailing address
2850 PRINCE ST STE 43, CONWAY, AR 72034-3600
(501) 327-6665
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
230353
AR
Other
Enumeration date
07/09/2024
Last updated
09/18/2024
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