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Individual

LYNDA A ANGELONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5656 WEST BEE CAVES ROAD, SUITE M-302, AUSTIN, TX 78746-5236
(512) 697-3502
(512) 697-3501
Mailing address
1004 SOUTH ROCK STREET, WESTLAKE ANESTHESIA GROUP, PA, GEORGETOWN, TX 78626
(512) 279-0348
(512) 371-8788

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
70297
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166840201
TX
05
166840203
TX
01
84187U
BC/BS
TX
01
8Y1862
BLUE CROSS
Enumeration date
11/22/2005
Last updated
01/23/2015
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